Bilateral humerus and corner fractures in an 18-month-old infant: a case report and review of child abuse from the resident perspective.
Child abuse continues to be a serious problem that is likely to be encountered in all medical specialties, with orthopaedic surgeons commonly evaluating children having sustained musculoskeletal injuries. In busy emergency departments and clinics, junior residents shoulder much of the responsibility in identifying cases of abuse. We report the case of an otherwise healthy 18-month-old child, who presented to the emergency room with bilateral humeral shaft and corner fractures. These injuries were originally presented to the orthopaedic resident as having occurred from an accidental fall from a crib. The appropriate evaluation for a patient suspected of sustaining an injury from child abuse is reviewed.
Department of Orthopaedic Surgery, NYU Hospital for Joint Diseases, NYU Medical Center, New York, NY, USA.
Kevin M
KM
Kaplan
Konrad I
KI
Gruson
Nader
N
Paksima
D002649:Child Abuse; D005260:Female; D006801:Humans; D006810:Humeral Fractures / Q000000981:diagnostic imaging*; D007223:Infant; D011859:Radiography