Non-accidental Fractures in Children

 

     X-ray AP Both Femur with midshaft of femur fracture 

(https://radiopaedia.org/cases/non-accidental-injury-1)

 

 Impression - Non-accidental Injury (femur fracture in non-ambulatory child )

Non accidental Injury 

    injury deliberately inflicted by a parent or a care-giver.

    Risks- first born, premature babies ,step child, family history of abuse, parents IV drug abusers 

      

Treatment 

    Gallows traction with a radiographs at 2-3/52 to show callus formation and then gentle mobilization     as comfort allows 

    Hip Spica