SPIRAL TIBIAL FRACTURES OF CHILDREN - A COMMONLY ACCIDENTAL SPIRAL LONG-BONE FRACTURE

被引：19

作者：

MELLICK, LB ^{[1
]}

REESOR, K ^{[1
]}

机构：

[1] TRIPLER ARMY MED CTR,DEPT ORTHOPED,HONOLULU,HI 96859

来源：

AMERICAN JOURNAL OF EMERGENCY MEDICINE | 1990年 / 8卷 / 03期

关键词：

child abuse; Children; fractures; injuries; long bone; spiral; tibia;

D O I：

10.1016/0735-6757(90)90329-X

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Pediatric training in child abuse has consistently emphasized a strong association between nonaccidental injuries and spiral fractures of long bones. Isolated spiral tibial fractures of childhood have previously been recognized by the orthopedic specialty to most frequently be accidental in etiology. The authors present evidence that supports a predominantly accidental etiology for isolated spiral tibial fractures of young children. This article presents a series in which 9 of 10 such spiral fractures were most likely the result of an accident and not child abuse or gross neglect. Additionally, almost all of these fractures presented as a gait disturbance and should be included in the differential of this complaint. © 1990.

引用

页码：234 / 237

页数：4

共 10 条

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[2] Mellick, Reesor, Demers, Et al., Tibial fractures of young children, Pediatr Emerg Care, 4, pp. 97-101, (1988)
[3] Rockwood, Wilkins, King, Fractures in Children, 3, (1984)
[4] Tachdjian, Pediatric Orthopedics, pp. 1719-1721, (1972)
[5] Medicolegal decisions: Immunity upheld in child abuse reporting, Am Med News, 31, (1988)
[6] Singer, Towbin, Occult fractures in the production of gait disturbance in childhood, Pediatrics, 64, pp. 192-196, (1979)
[7] Leonidas, Skeletal trauma in the child abuse syndrome, Pediatr Ann, 12, pp. 875-881, (1983)
[8] Hilton, Edwards, Hilton, Practical Pediatric Radiology, pp. 453-454, (1984)
[9] King, Diefendorf, Apthorp, Et al., Analysis of 429 fractures in 189 battered children, J Pediatr Orthop, 8, pp. 585-589, (1988)
[10] Merten, Radkowski, Leonidas, The abused child: A radiological reappraisal, Radiology, 146, pp. 377-381, (1983)

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