Shoulder Injury Fracture

Inquiries found no abuse before little girl's death, CPS says

Two months before 4-year-old Betsabeth Sandoval died after suffering numerous injuries, two bone fractures and malnourishment, Child Protective Services investigated allegations of abuse against the girl but found nothing requiring more scrutiny.

CPS caseworkers reported observing no injuries on Betsabeth on both occasions they visited the child's Houston home in April after receiving reports that she had bruises on her face and swollen eyes, according to the agency's spokeswoman Estella Olguin.

However, an autopsy performed on the girl, who died June 3, revealed she had bruises, fractures and was underweight for her age. The autopsy also found that some of her injuries were healing, indicating she had suffered over a length of time.

On Monday, police charged the child's mother, 27-year-old Maciel Sandoval, and her roommate, Judith Herrera-Garcia, 35, with injury to a child, alleging that both failed to seek timely medical attention for the girl.

Betsabeth's official cause of death is awaiting further review by the Harris County Institute of Forensic Sciences. The completed autopsy findings could potentially change the charges against Sandoval and Herrera-Garcia, said Houston Police Department spokesman Victor Senties.

Claims of abuse against Betsabeth surfaced March 26, and CPS caseworkers visited the child's residence in the 5800 block of West Sunforest on April 1 and April 29.

During their investigation, Betsabeth's pediatrician, who had examined the girl shortly before receiving inquiries from CPS, told caseworkers he had no concerns about abuse or neglect. He described her appearance as "well nourished" and "well developed," Olguin stated in an email.

Caseworkers also interviewed Herrera-Garcia's 14-year-old son, who denied any abuse or neglect against him or Betsabeth. CPS took emergency custody of the boy Wednesday after his mother was arrested. Olguin said CPS took custody of the boy because he has no other family in Texas that can care for him.

The only wound reported to CPS by the family was an old shoulder injury that Betsabeth received when she fell in a park playground in early March. The child's doctor told caseworkers that he'd examined the girl twice for the injury, and an X-ray showed no fractures to Betsabeth's shoulder, Olguin said. He also stated that the injury was consistent with the family's explanation of how it happened, Olguin said.

Shoulder Pain Injury – Fracture of the Clavicle,15 Animated ...

Shoulder Pain Injury - fracture of the clavicle, 15 3D Shoulder Pain  animated educational videos are  available to view at this   Shoulder Pain Clinic  for  Shoulder Pain  related conditions, diseases, pains and injuries, which can be found listed under ” Pain Management,” “Orthopaedics” and “Complementary Medicine” in our Videos Library section. Also in this library there are a further 100 3D animated videos covering   other conditions / complaints under the same headings. To view the Videos Library, click in the top right hand corner.  Also available are 40 3D animated educational videos  for various Pain, injuries and conditions, they can be found under the listing ”Types of Pain” Section.   For the management of  Shoulder Pain at Central Chiropractic and Physiotherapy Clinic, we use the latest Low Level Lasers which accelerate the recovery and healing process, leading to a significant reduction in pain inflammation. A 5 star rating has been awarded to Low Level Laser Therapy, our laser section can be found listed under ”Pain Relief”, please also view our  ”Low level Laser Testimonial Video”.  The clavicle is usually fractured following an impact to the shoulder. The impact may be with a stationary object or with a moving object or blow sustained from a contact sport such as rugby or horse riding. Similarly, the clavicle may be fractured when you fall on either your elbow or an outstretched hand. When this occurs, the force of the impact is transmitted along the bones in the arm to the clavicle. If the force is sufficient the clavicle may break.   The first sensation felt when the clavicle is fractured is severe pain experienced between the bottom of the neck and point of shoulder. There may also be an audible noise as the bone breaks. When you look at your collarbone, there may be an obvious bump. This is due to either displacement of the broken ends of the bone or early bleeding and swelling around the site of the fracture.   A fracture of the clavicle is a serious injury. If you have or suspect you have a fracture of the clavicle, you should stop or reduce shoulder and arm activity and seek the advice and assistance from a Chiropractor, Physiotherapist or Doctor. It’s important to support your arm whilst travelling you should wear an arm sling.

ROCKWOOD & GREEN'S FRACTURES IN ADULTS, ROCKWOOD, GREEN, AND WILKINS' FRACTURES

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