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 Vol. 12 No. 3, September 2004
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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

 





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