No, I have not served as an expert witness. Based on the available literature, it is challenging to definitively determine whether certain findings are specifi

No, I have not served as an expert witness. Based on the available literature, it is challenging to definitively determine whether certain findings are specific to abuse. There are limited options to reliably assess true positive and true negative rates in such cases. Rare diseases are more common than one might think, particularly in the pediatric population, and they can have a significant impact on injury thresholds. Therefore, it is important to consider that any given finding may or may not be attributed to trauma or an underlying medical condition. I believe that determining abuse is a legal matter rather than a medical one. From a scientific perspective, it may be limited to stating that the likelihood of abuse increases with the number of different injuries. Anything beyond that should perhaps be left to the discretion of the courts.