DOCTORS raised concerns about an injury which a five-year-old Wigan boy suffered nine months before he was killed, a court heard.
Cambridge Crown Court was told that Beech Hill-born Tyler Whelan was taken to Peterborough District Hospital on June 10, 2010 suffering from a broken leg.
When doctors examined him they said that it was possible that bruises on his body could have been caused on purpose but following some discussions no further action was taken.
Tyler died on March 7, 2011 after being kicked by Elvis Lee, the partner of his mother Stephanie Whelan at the time.
The cause of his death was blunt trauma injuries to his abdomen and head.
Lee, 34, of Crabtree, Paston, Peterborough, admits the manslaughter of Tyler but has pleaded not guilty to murder and three counts of cruelty to a child.
Tyler’s 27-year-old mother, Stephanie Whelan, who is from Wigan lived at Sheepwalk, Paston, at the time of the incident, denies causing or allowing the death of a child and three counts of cruelty to a child.
Dr Patricia Kenny, an expert in paediatric medicine, told the jury she had been given notes about Tyler’s medical history.
She said: “Tyler had a tibia fracture. It was a spiral fracture. Fractures are really painful and painful at the moment it occurs. It is very, very painful, and has a sudden onset.
“It would be very alarming and distressing to a child. At the time he was taken to hospital no action was taken regarding safeguarding.
“It was discussed with a number of matters of concern.
“The things that would have been looked out for would be factors of non-accidental injuries opposed to accidental injuries.”
She added there would have been concern that Tyler was said to have suffered the injury the night before on June 9, 2010 but was not taken to the hospital until June 10.
However, she agreed with the statement given by another doctor, Dr Amaka Offiah, who said that the fracture was most likely to have been caused by a fall.