Femur fractures resulting from stair falls among children: An injury plausibility model

Pediatrics

Volumn 115, Issue 6, 2005, Pages 1712-1722

  Pierce, Mary Clyde ^a,c   Bertocci, Gina E ^a,d   Janosky, Janine E ^a   Aguel, Fernando ^a   Deemer, Ernest ^a   Moreland, Morey ^a   Boal, Danielle K B ^b   Garcia, Sylvia ^a   Herr, Sandra ^a,e   Zuckerbraun, Noel ^a   Vogeley, Eva ^a  

^a CHILDREN S HOSPITAL OF PITTSBURGH   (United States)

^b PENN STATE MILTON S HERSHEY MEDICAL CENTER   (United States)

^c KOSAIR CHILDREN'S HOSPITAL   (United States)

^d School of Mechanical Engineering ^*  (United States)

^e University of Louisville School of Medicine   (United States)

Author keywords

Biomechanics; Child abuse; Femur fracture; Stair fall

Indexed keywords

ACCIDENTAL INJURY; ANAMNESIS; ARTICLE; BIOMECHANICS; CHILD; CHILD ABUSE; CHILD HEALTH CARE; CLINICAL ARTICLE; CONTROLLED STUDY; FALLING; FEMUR FRACTURE; HUMAN; MEDICAL CARE; PRIORITY JOURNAL; TIME; CAREGIVER; CLASSIFICATION; CONTUSION; DECISION MAKING; DIFFERENTIAL DIAGNOSIS; EPIDEMIOLOGY; FEMALE; HIP FRACTURE; INFANT; MALE; MULTIPLE TRAUMA; NEWBORN; PARENT; PRESCHOOL CHILD; PROSPECTIVE STUDY; RECUMBENCY; THEORETICAL MODEL; ULTRAVIOLET RADIATION;

ACCIDENTAL FALLS; BIOMECHANICS; CAREGIVERS; CAUSALITY; CHILD ABUSE; CHILD, PRESCHOOL; CONTUSIONS; DECEPTION; DECISION MAKING; DIAGNOSIS, DIFFERENTIAL; FEMALE; HIP FRACTURES; HUMANS; INFANT; INFANT, NEWBORN; MALE; MEDICAL HISTORY TAKING; MODELS, THEORETICAL; MULTIPLE TRAUMA; PARENTS; PROSPECTIVE STUDIES; ULTRAVIOLET RAYS;

EID: 27744607866     PISSN: 00314005     EISSN: 00314005     Source Type: Journal    
DOI: 10.1542/peds.2004-0614     Document Type: Article

References (23)

1. Alexander R, Crabbe L, Sata Y, et al. Serial abuse in children who are shaken. Am J Dis Child. 1990;144:58-60
2. Jenny C, Hymel KP, Ritzen A, Reiner SE, Hay TC. Analysis of missed cases of abusive head trauma. JAMA. 1999;281:621-626
3. King J, Diefendorf D, Apthorp J, et al. Analysis of 429 fractures in 189 battered children. J Pediatr Orthop. 1988;8:585-589
4. O'Neill JA Jr, Meacham WF, Griffin PP, Sawyer JL. Patterns of injury in the battered child syndrome. J Trauma. 1973;13:332-339
5. Scherl SA, Miller L, Lively N, et al. Accidental and nonaccidental femur fractures in children. Clin Orthop Relat Res. 2000;376:96-105
6. Schwend RM, Werth C, Johnston A. Femur shaft fractures in toddlers and young children: rarely from child abuse. J Pediatr Orthop. 2000;20:475-481
7. Chiaviello CT, Christoph RA, Bond GR. Stairway-related injuries in children. Pediatrics. 1994;94:679-681
8. Joffe M, Ludwig S. Stairway injuries in children. Pediatrics. 1988;82:457-461
9. Huntimer CM, Muret-Wagstaff S, Leland NL. Can falls on stairs result in small intestine perforations? Pediatrics. 2000;106:301-305
10. Skellern C, Wood D, Murphy A, et al. Non-accidental fractures in infants: risk of further abuse. J Paediatr Child Health. 2000;36:590-592
11. Thomas SA, Rosenfield NS, Leventhal JM, et al. Long-bone fractures in young children: distinguishing accidental injuries from child abuse. Pediatrics. 1991;88:471-476
12. Leventhal JM, Thomas SA, Rosenfield NS, et al. Fractures in young children: distinguishing child abuse from unintentional injuries. Am J Dis Child. 1993;147:87-92
13. Reece RM, Sege R. Childhood head injuries: accidental or inflicted? Arch Pediatr Adolesc Med. 2000;154:11-15
14. Strait RT, Siegel RM, Shapiro RA. Humeral fractures without obvious etiologies in children less than 3 years of age: when is it abuse? Pediatrics. 1995;96:667-671
15. Pierce MC, Bertocci GE, Vogeley E, Moreland MS. Evaluating long bone fractures in children: a biomechanical approach. Child Abuse Negl. 2004;28:505-524
16. Kleinman PK, Marks SC, Blackbourne B. The metaphyseal lesion in abused infants: a radiologic-histopathologic study. AJR Am J Roentgenol. 1986;146:895-905
17. Kleinman PK, Marks SC Jr, Richmond JM, Blackbourne BD. Inflicted skeletal injury: a postmortem radiologic-histopathologic study in 31 infants. AJR Am J Roentgenol. 1995;165:647-650
18. Pathria MN. Radiologic analysis of trauma. In: Nahum AM, Melvin JW, eds. Accidental Injury. 2nd ed. New York, NY: Springer-Verlag; 2002:103-120
19. Bertocci GE, Pierce MC, Deemer E, Aguel F. Computer simulation of stair falls to investigate scenarios in child abuse. Arch Pediatr Adolesc Med. 2001;155:1008-1014
20. Hettler J, Greenes DS. Can the initial history predict whether a child with a head injury has been abused? Pediatrics. 2003;111:602-607
21. Gomez MA, Nahum AM. Biomechanics of bone. In: Nahum AM, Melvin JW, eds. Accidental Injury. 2nd ed. New York, NY: Springer-Verlag; 2002:206-227
22. Vogeley E, Pierce MC, Bertocci G. Experience with Wood lamp illumination and digital photography in the documentation of bruises on human skin. Arch Pediatr Adolesc Med. 2002;156:265-268
23. Daly KE, Calvert PT. Accidental femoral fractures in infants. Injury. 1991;22:337-338