This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Take the CME quiz:
 Vol. 12 No. 3, September 2004
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow E-mail this article to a friend
Right arrow Similar articles in this journal
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrowRequest Permissions
Citing Articles
Right arrow Citing Articles via CrossRef
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Spivack, B.
Right arrow Search for Related Content
PubMed
Right arrow Articles by Spivack, B.
Related Collections
Right arrow Child Abuse and Neglect

AAP Grand Rounds 12:37 (2004)
© 2004 American Academy of Pediatrics

CHILD ABUSE AND NEGLECT

Interpreting the Mechanism of Injury in Pediatric Long Bone Fractures

Source: Pierce MC, Bertocci GE, Vogeley E, et al. Evaluating long bone fractures in children: a biomechanical approach with illustrative cases. Child Abuse Negl. 2004;28:505–524.[Medline]

The first 20% of the full text of this article appears below.

This review presents a paradigm for understanding how bones respond to external forces and for interpreting fracture patterns as a guide to mechanism of injury. The authors from the University of Pittsburgh, Pa and the University of Louisville, Ky, begin by reviewing the literature regarding the biomechanics of bone injury and the anatomic and developmental features of pediatric bone that influence the response to various loading patterns. They correlate fracture morphology with the injury mechanisms. Five patterns of long-bone injury are discussed:

• Spiral fractures arise from torsional forces. While often . . . [Full Text of this Article]

Betty Spivack, MD, FAAP
Pathology and Pediatrics, University of Louisville School of Medicine, and the Medical Examiner Division of the Kentucky Cabinet for Justice and Public Safety, Louisville, KY