Bilateral Distal Femoral Physeal Injury In A Child – Xray

Following xray shows a bilateral distal femur physis injury in nine year old child that occurred due to fall from height.

bilateral-distal-femur-physeal-injury

Bilateral Physeal Injury In Distal Femur In A Child

The child was treated with closed reduction and Kwire fixation of both the injuries.

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United Fracture of Radius In a very Young Child

Following xray shows a fracture of radius bone united in slight angulation in a very young child

Fracture of Radius Bone In A Child

United Fracture of Radius Bone In A Young Skeleton

Because the the child is very young, such a deformity is expected to remodel very in due course of time.

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Puckering Of Skin In A Supracondylar Fracture – Clinical Photographs

Eleven years old boy fell from stairs and injured his elbow.

Puckering of Anterior Skin In A Supracondylar Fracture

Puckering of Anterior Skin In A Supracondylar Fracture

The boy had probably had supracondylar fracture [Later confirmed with xray].

The skin as shown above had puckered due to getting caught between the fracture fragments.

Here is image from another angle. [Read more...]

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Fracture Shaft Femur In Nine Year Old Child – Anteroposterior Xray

Fracture shaft of femur in a nine year old chld at level of upper third middle third junction.

Fracture Shaft Femur In A Child

Fracture Shaft Femur In Nine Year Old Child

The fracture was treated with titanium elastic nails.

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Distal Femoral Physeal Slip Fixed With Kwires

Dstal Femoral Physeal Slip in a 13 years old boy, reduced and fixed with Kwires.

Distal Femoral Physeal Slip

Distal Femoral Physeal Slip - Reduced and Fixed With Kwires

The patient recovered uneventfully.

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Pathological Fracture Of Femur With Lytic Lesion In A Child

Fracture of upper end of femur in an eight years old child. If you notice carfefully, you can see a lytic lesion at the site of the fracture.

pathological fracture of upper end of femur in a child

Pathological Fracture of Upper End Femur in A Child

This fracture was associated with trivial fall and though the patient or attendants gave no previous history of any problem in the affected limb, the xray showed a lytic lesion, making it a pathological fracture.

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Parental Predictors of Child Abuse

Mother

  • Age <20 years
  • Lower educational achievement
  • History of sexual abuse
  • Child guidance issues
  • Absent father during childhood
  • History of psychiatric illness

Father [Read more...]

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Non Accidental Injury In Children (Child Abuse)

Child abuse is defined as maltreatment of a child by either parents or caretakers, and includes physical, sexual, and emotional abuse, as well as emotional and physical neglect.

Incidence

The incidence of physical abuse in America is estimated to be 4.9 children per 1,000, and 1 of every 1,000 abused children die.

30% to 50% of abused children require orthopedic care.

The children who are returned to their homes after an unrecognized episode of child abuse have a 25% risk of serious reinjury and a 5% risk of death. [Read more...]

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Causes of Pathological Fractures In Children

A pathological fracture is defined as a fracture that occurs through abnormal bone, a  bone that lacks normal biomechanical and viscoelastic properties.

Pathological fractures may result from generalized bone weakness caused by an external process like radiation. Another example of external cause is hole caused by a procedure like fixation or biopsy.

Most of the fractures, however, have internal causes which could be localized or generalized. [Read more...]

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Fractures In Children Resulting From Accidental Trauma

Accidental trauma can occur in a variety of settings and can be considered to occur in the following five environments-

1. Home

2. School

3. Play and recreational activities

4. Motor vehicle and road accidents

5. Uncommon causes

Some of these might overlap with each other. For example play and recreational activities activity can be a part of school environment as well home

Home Environment

Those fractures that occur in the house and surrounding vicinity,  generally occur in a fairly supervised environment. The causes are mainly falls from furniture, stairs, fences, and trees.

Falls can vary in severity from a simple fall while running, to a fall from a substantial height. In contrast to adults who land on heels, children tend to fall head first, using the upper extremities to break the fall causing skull and radial fractures. [Read more...]

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