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Femoral neck fracture as the sentinel sign of child abuse in an infant: a case report.
MedLine Citation:
PMID:  22568965     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Child abuse is a significant problem encountered by orthopedic surgeons in the USA. Fractures are the second most common presentation of physical abuse. In this case report, we present a 5-month-old male infant who initially presented with acute hip pain secondary to a femoral neck fracture as a result of abuse. The patient was taken to the operating room for open reduction and pinning of the femoral neck fracture. Further investigation found evidence of fractures of the bilateral femur and fibula at various stages of healing. To our knowledge, a femoral neck fracture in a nonambulatory infant resulting from abuse has not been reported previously. Physicians treating these injuries should consider child abuse in their differential diagnosis when presented with this clinical scenario. Level of Evidence: Level IV.
Authors:
Andrew J Pastor; Asheesh Gupta; Cyrus M Press; Prasad Gourineni
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-5-6
Journal Detail:
Title:  Journal of pediatric orthopaedics. Part B     Volume:  -     ISSN:  1473-5865     ISO Abbreviation:  -     Publication Date:  2012 May 
Date Detail:
Created Date:  2012-5-9     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9300904     Medline TA:  J Pediatr Orthop B     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Department of Orthopaedics, University of Illinois-Chicago, Chicago, Illinois, USA.
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