title: A Rare Case Report on Bilateral Intertrochanteric Fractures in a Child Following Child Abuse.
abstract: Diagnosis of non accidental injury needs careful history elicitation, proper examination and thorough workup including blood investigation and radiological assessment to avoid misdiagnosis or under diagnosis. Correct diagnosis and reporting would avoid possible similar incidents in the future. Four-year-old female child brought to our hospital by her mother with apparent history of fall from height. Following detailed examination and radiological assessment we suspected of child abuse. Child had multiple fractures in different stages of healing which included bilateral intertrochanteric fractures. Child was operated for bilateral intertrochanteric fractures which appeared relatively fresh compared to other old malunited fractures with open reduction and fixation with titanium elastic nailing and was immobilized by hip spica. Two months postoperatively, there was complete radiological union of fractures and child was being counseled by child psychologist.
authors.affiliation: Assistant Professor, Department of Orthopaedics, Sree Lakshmi Narayan Institute of Medical Sciences , Pondicherry, India .
authors.forename: Raghavendra S
authors.initials: RS
authors.lastname: Kembhavi
authors.affiliation: Professor and Head, Department of Orthopaedics, Sree Lakshmi Narayan Institute of Medical Sciences , Pondicherry, India .
authors.forename: Boblee
authors.initials: B
authors.lastname: James
keywords: Corner fracture; Hip fracture; Hip spica; Physeal injury