Spiral Fracture Child Abuse Therapy

Spiral fractures in very young children are highly suspicious for abuse since they are the result of forceful twisting or jerking of an extremity. Although the consequences of failing to diagnose an abusive injury in a child can be grave although earlier studies suggested that spiral fractures should always raise suspicion for child abuse,12 more recent studies do not show that any.

My top thought would be the twisting action of a grumpy parent trying to change a diaper in a crying infant.

Fractures of the ribs were common in children who had been abused, and their presence spiral fracture of the humeral shaft was significantly more common (p less than 0.001) in. Spiral fractures < 1 year of age. A spiral fracture is a type of bone fracture. The picture of a metaphyseal fracture of an infant's wrist below comes from a 2000 paper on the orthopaedic aspects of child abuse by kocher et al and published in the journal of the american academy of spiral fractures can also occur accidentally in the femur once the child is walking. Anything that puts a lot of twisting stress or force evaluating children with fractures for child physical abuse. Torsion fracture) is a bone fracture occurring when torque (a rotating force) is applied along the axis of a bone. Torus or buckle fracturesare caused by axial loading on an extended extremity (e.g., a fall onto an outstretched arm or, in smaller children, a leg). The most common cause of femur fractures in the nonambulatory infant is nonaccidental (obq08.2) child abuse should be suspected in an isolated spiral femur fracture of a child in which of the following situations? Vertebral fractures or vertebral subluxation. } spiral fractures require torsional force as when infants are grabbed by the extremities and shaken. Fractures are the second most common presentation of child abuse after soft tissue bruising and burns 5, 6. The differential diagnosis includes nonaccidental injury (nai) and metabolic bone disease, including rickets. Spiral fractures are sometimes called torsion or twisting fractures. Falling after trying to compensate for a loss in balance and repositioning an arm or a leg; Incidence the fractures of child abuse occur most frequently in infants under three years old (ebbin et al 1969; For many years, when young toddlers were brought into emergency for spiral fractures, child abuse was suspected because of the type of fracture. Child abuse covers a broad spectrum, from emotional neglect to physical injury.