title: Fracture and Nonaccidental Injury: A Case Report of a Lateral Condylar Fracture in a 13 Month Old.
abstract: Pediatric nonaccidental injury (NAI) is an important entity that is commonly seen in a variety of medical settings. These children often present to the emergency department or primary care physicians as the first point of contact after an NAI. There is a major risk associated with nonrecognition of an NAI, including a 35% chance of subsequent injury and a 5% to 10% risk of mortality. Therefore, it is essential for physicians to be vigilant when assessing injuries compatible with NAI, especially in infants and young children who are not able to independently express themselves. As fracture is the second most common manifestation of NAI, practitioners should be vigilant to recognize unusual fractures in atypical age ranges to aid in its diagnosis. Here, we present a novel case of a lateral condylar fracture in an almost 13-month-old-child that has not been previously associated with NAI.
authors.affiliation: From the Departments of Paediatrics and Surgery, Schulich School of Medicine and Dentistry at Western University, Children's Hospital at London Health Sciences Centre, London, Ontario, Canada.
authors.forename: Helen
authors.initials: H
authors.lastname: Levin
authors.forename: Gurinder
authors.initials: G
authors.lastname: Sangha
authors.forename: Timothy P
authors.initials: TP
authors.lastname: Carey
authors.forename: Rodrick
authors.initials: R
authors.lastname: Lim
mesh_terms: D001497:Battered Child Syndrome / Q000000981:diagnostic imaging*; D002649:Child Abuse / Q000175:diagnosis*; D004636:Emergency Service, Hospital; D005260:Female; D000069076:Fractures, Multiple / Q000000981:diagnostic imaging*; D006801:Humans; D007223:Infant; D011859:Radiography