Fracture shaft of femur in a nine year old chld at level of upper third middle third junction.
Fracture Shaft Femur In Nine Year Old Child
The fracture was treated with titanium elastic nails.
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Fracture Shaft Femur In Nine Year Old Child – Anteroposterior Xray
December 23, 2011 By Leave a Comment
Distal Femoral Physeal Slip Fixed With Kwires
December 8, 2011 By Leave a Comment
Dstal Femoral Physeal Slip in a 13 years old boy, reduced and fixed with Kwires.
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
December 4, 2011 By Leave a Comment
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 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
November 28, 2011 By Leave a Comment
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)
November 27, 2011 By Leave a Comment
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
November 27, 2011 By Leave a Comment
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
November 22, 2011 By Leave a Comment
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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Causes of Fractures In Children
November 20, 2011 By Leave a Comment
Broadly divided there are three causes of injuries to children.
1. Accidents
2. Non Accidental Injury [Child Abuse]
3. Pathological condition [Weak Bones etc.]
Each of the cause has been discussed in a separate article. Please follow the link to go to individual article on causation.
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Incidence of Fractures In Children By Types Of Fractures
November 19, 2011 By Leave a Comment
In last article we had a look at epidemiology of fractures in children. Here we would discuss specific fracture pattern and variables affecting them.
Age Variations
Some fractures are known to occur more in specific age groups. For example, fractures of the femur are most common in children ages 0 to 3 years of age. Similarly, fractures of supracondylar area in humerus are more common in second decade and peak is around 7 years of age.
Physeal fractures are more common near skeletal maturity.
Landin divided the fracture occurrence in children into these distinct patterns [Read more...]
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A Note On Epidemiology Of Fractures In Children
November 18, 2011 By Leave a Comment
Epidemiology is the study of health-event, health-characteristic, or health-determinant patterns in a population. Over a period of time children fracture patterns have shown to be quite interesting.
In earlier studies of children, the aims of study were to note type of fractures and how they heal. However, the present studies are done to gather data in an attempt to decrease the incidence by preventive program as well.
Incidence
Following inferences can be drawn from the available studies till now.
- 42% of the boys and 27% of the girls sustain at least one fracture from 0 to 16 years of age.
- Each year 1.6% to 2.1% of all the children sustain a fracture.
- 17.8% of children out of all children with injury, would have a fracture.
- Fractures how a linear increase with age , peaking at 12 years and then decrease until age of 16 years
Trauma
Nonaccidental trauma [Child abuse] is the leading cause of fractures during the first year of life though other general and metabolic conditions may predispose children to fractures from accidental causes. [Read more...]
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