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Frenal injury in children is not pathognomic of non-accidental injury
  1. A J Kidd,
  2. T F Beattie,
  3. G Campbell-Hewson
  1. Accident and Emergency Department, Royal Hospital for Sick Children, Edinburgh, UK
  1. Correspondence to A J Kidd, Accident and Emergency Department, Royal Hospital for Sick Children, Edinburgh EH9 1LF, UK; Alastair.kidd{at}


Upper labial frenal tear in infants is classically taught as having associations with non-accidental injury. Collection of data for a 12-month period in our paediatric facial injury study revealed that this injury pattern is common in ambulant children and was associated with other facial trauma. In assessing the possibility of this injury being due to abuse, the importance of the mobility of the child and the mechanism of the injury are paramount.

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  • Competing interests None.

  • Provenance and Peer review Not commissioned; externally peer reviewed.

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