Which of the following child abuse injuries is most likely to result in severe long-term consequences or death?

Subdural hematoma from head trauma is particularly concerning in the context of child abuse because it signifies significant underlying trauma to the head. This type of injury typically occurs when there is rapid acceleration and deceleration of the brain within the skull, commonly seen in abusive head trauma situations, especially in infants and young children. The accumulation of blood between the brain and its outer covering can lead to increased intracranial pressure, which can cause cognitive impairment, developmental delays, and other neurological deficits.

The potential for severe long-term consequences, including permanent brain damage and epilepsy, makes subdural hematomas a critical concern. In some cases, if the hematoma is not promptly diagnosed and managed, it can lead to death due to brain herniation or other complications. Given these attributes, subdural hematomas represent one of the most significant concerns in assessing child abuse injuries, primarily due to the delicate nature of a child's developing brain and the potential for irreversible damage.

While the other options also pose risks, the immediate and most severe implications of subdural hematomas in terms of long-term consequences make this choice particularly relevant in cases of child abuse. Such injuries invite not only severe cognitive and physical impairments but also heightened scrutiny in a clinical setting, emphasizing