@article{ref1,
title="Paediatric femoral shaft fractures: What are the concomitant injuries?",
journal="Injury",
year="2013",
author="Dodd, Andrew and Paolucci, Elizabeth Oddone and Parsons, David",
volume="44",
number="11",
pages="1502-1506",
abstract="INTRODUCTION: Trauma remains a substantial cause of paediatric morbidity and mortality. Femur fractures are common in children, and frequently are the result of high-energy mechanisms of injury. A complete description of missed injuries in this population has not previously been described. MATERIALS AND METHODS: A retrospective chart review of patients presenting to the Alberta Children's Hospital with femoral shaft fractures was performed. Associated injuries, and injuries with delayed diagnosis were recorded. RESULTS: Twenty-percent of the patients suffered at least one other injury with their femur fracture. Six-percent of injuries had a delayed diagnosis, corresponding to three-percent of the patients reviewed. CONCLUSION: There is a risk of missed injuries in the paediatric patient presenting with a femoral shaft fracture. Paediatric trauma teams and paediatric orthopaedic teams must be aware of this risk to help reduce the incidence of missed injuries. A tertiary trauma survey on children with paediatric femoral shaft fractures may help diagnose missed injuries.<p /> <p>Language: en</p>",
language="en",
issn="0020-1383",
doi="10.1016/j.injury.2013.02.012",
url="http://dx.doi.org/10.1016/j.injury.2013.02.012"
}