TY - JOUR PY - 2003// TI - Causes of femoral shaft fracture in children under five years of age JO - Journal of the Medical Association of Thailand A1 - Jeerathanyasakun, Yongyot A1 - Hiranyavanitch, Paichit A1 - Bhummichitra, Dilok A1 - Sukswai, Pisit A1 - Kovitvanitcha, Dool A1 - Thumkunanon, Veerasak SP - S661 EP - 6 VL - 86 IS - 3 N2 - OBJECTIVE: To study the causes of femoral shaft fracture in children younger than 5 years of age. STUDY DESIGN: Retrospective, descriptive study. PATIENTS AND METHOD: Medical records and radiographs of 39 children younger than 5 years of age with femoral shaft fractures treated in Queen Sirikit National Institute of Child Health during the years 1996-2001 were reviewed. The responsible causes for the femoral shaft fracture given by caretakers by interview were collected. RESULTS: The most common history was falling or jumping from a height (36%) followed by traffic accidents (26%) and object or person falling on top of them (23%) respectively. Only one case presented with a history of abuse. Nine cases were suspected of abuse, but, without further investigations it was not possible to identify the exact cause of fracture. CONCLUSION: Histories given by caretakers for the cause of femoral shaft fracture in children younger than 5 years of age are varied. The orthopedists should find out the exact cause of fracture to prevent missed or delayed diagnosis of abuse that may have occurred.

Language: en

LA - en SN - 0125-2208 UR - http://dx.doi.org/ ID - ref1 ER -