Fracture patterns in battered children.
We reviewed cases of 75 battered children with fractures over a 2-year period. The average age was 16 months; 57% were boys. There were 154 fractures (2.0 per child); 77% were acute and 23% were old. The most common fracture occurred in the skull (32%) and the most common long bone fracture occurred in the tibia (16%). The most common long bone fracture pattern was transverse (41%); corner fractures accounted for 28% of long bone fractures. An isolated acute fracture was the orthopaedic injury in 65% of the children, whereas multiple fractures in various stages of healing were present in only 13% of children.
Loder
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Department of Orthopaedic Surgery, Children's Hospital of Michigan, Detroit.
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D001497:Battered Child Syndrome / Q000175:diagnosis*; D002649:Child Abuse; D002675:Child, Preschool; D005260:Female; D050723:Fractures, Bone / Q000145:classification / Q000000981:diagnostic imaging*; D006801:Humans; D007223:Infant; D008297:Male; D009104:Multiple Trauma / Q000175:diagnosis; D011859:Radiography; D012887:Skull Fractures / Q000000981:diagnostic imaging