title: Injuries when children reportedly fall from a bed or couch.
abstract: One-hundred-fifteen patients with orthopaedic injuries resulting from a reported fall from a piece of furniture at home were studied to define the relationship of suspected child abuse associated with this mechanism of injury. One hundred-thirteen patients sustained fractures or dislocations and two patients were impaled with a pencil and a needle. Each patient was evaluated by a primary care physician or an emergency room physician and by an orthopaedic surgeon. In six of 115 patients (5%), a treating physician filed a child abuse report. In 109 patients (95%) the purported mechanism of injury was considered sufficient to produce the resulting injury. Two of four children younger than 1 year (50%), four of 83 children 1 to 5 years (5%), and none of the 28 children older than 5 years were investigated for potential child abuse. Orthopaedic injuries reportedly attributable to a child falling from a bed or couch at home usually are accidental unless the child is younger than 1 year.
authors.affiliation: Department of Orthopaedic Surgery, Valley Children's Hospital, Madera, California, USA. whennrikus@valleychildrens.org
authors.forename: William L
authors.initials: WL
authors.lastname: Hennrikus
authors.forename: Brian A
authors.initials: BA
authors.lastname: Shaw
authors.forename: Joseph A
authors.initials: JA
authors.lastname: Gerardi
mesh_terms: D000058:Accidental Falls / Q000706:statistics & numerical data*; D000367:Age Factors; D002648:Child; D002649:Child Abuse / Q000175:diagnosis* / Q000706:statistics & numerical data*; D002675:Child, Preschool; D005260:Female; D006304:Health Status; D006801:Humans; D007223:Infant; D007374:Interior Design and Furnishings / Q000706:statistics & numerical data*; D008297:Male; D009141:Musculoskeletal System / Q000293:injuries*; D015599:Trauma Severity Indices