Patterns of fractures in accidental and non-accidental injury in children: a comparative study

作者: P Worlock , M Stower , P Barbor

DOI: 10.1136/BMJ.293.6539.100

关键词: Injury preventionSpiral fractureSurgeryEl NiñoAccidentalPoison controlChild abuseOccupational safety and healthPediatricsSuicide preventionMedicine

摘要: The incidence and pattern of fractures in children who had been abused were compared with those sustained by similar ages whom abuse excluded. From 1976 to 1982 there 35 resulting from child abuse, all aged under 5. Of the 826 control group, seen January June 1981, 85% over Abused much more likely have multiple (p less than 0.001) bruising head neck 0.001). Fractures ribs common abused, their presence, absence major chest trauma, strongly suggested that was occurring. Injuries long bones invariably spiral or oblique subperiosteal new bone formation--both "gripping twisting" injuries. Spiral fracture humeral shaft significantly group children. Classic metaphyseal chip uncommon. One eight 18 months sustains a may be victim abuse.

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