Dr. Alice Newton, medical director at Massachusetts General Hospital's Child Protection Team, looks at the x-ray of a child's hand at the hospital in Boston, Massachusetts April 2, 2009. Boston hospitals report a spike in child abuse during a recession that has driven some families to the brink and overwhelmed cash-strapped child-protection agencies. Picture taken April 2, 2009. To match feature USA-CHILDABUSE/ REUTERS/Brian Snyder (UNITED STATES HEALTH CONFLICT SOCIETY)