@article{ref1,
title="Humeral fracture in non-ambulant infants-a possible accidental mechanism",
journal="Pediatric radiology",
year="2014",
author="Somers, John M. and Halliday, Katharine E. and Chapman, Stephen",
volume="44",
number="10",
pages="1219-1223",
abstract="BACKGROUND: Humeral fracture in a non-ambulant infant younger than 1 year is suspicious for a non-accidental injury unless there is a credible accidental explanation. A previously unrecognised accidental mechanism was described in 1996 whereby a 5-month-old infant was rolled by a 3-year-old sibling from a prone to a supine position. <br><br>OBJECTIVE: To investigate the widely accepted view that an infant with limited mobility cannot sustain a fracture of the humerus by his or her own actions in the absence of the intervention of an external party. <br><br>MATERIALS AND METHODS: We present seven cases of non-ambulant infants between 4 and 7 months of age in whom an isolated humeral fracture was the only injury present. <br><br>RESULTS: In each case the caregiver described the fracture occurring when the child rolled over, trapping the dependent arm, without the intervention of another party. <br><br>CONCLUSION: There is no proof for this mechanism in the form of an independent witness or video recording. However, we propose that this mechanism is worthy of further consideration as a rare and unusual cause for the injury. Further study is required.<p /> <p>Language: en</p>",
language="en",
issn="0301-0449",
doi="10.1007/s00247-014-2954-8",
url="http://dx.doi.org/10.1007/s00247-014-2954-8"
}