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A Rare Case Report on Bilateral Intertrochanteric Fractures in a Child Following Child Abuse.

Authors
Type
Published Article
Journal
JOURNAL FOR CLINICAL AND DIAGNOSTIC RESEARCH
2249-782X
Publisher
JCDR Research and Publications
Publication Date
Volume
9
Issue
10
Identifiers
DOI: 10.7860/JCDR/2015/16033.6603
PMID: 26557582
Source
Medline
Keywords
  • Corner Fracture
  • Hip Fracture
  • Hip Spica
  • Physeal Injury

Abstract

Diagnosis of non accidental injury needs careful history elicitation, proper examination and thorough workup including blood investigation and radiological assessment to avoid misdiagnosis or under diagnosis. Correct diagnosis and reporting would avoid possible similar incidents in the future. Four-year-old female child brought to our hospital by her mother with apparent history of fall from height. Following detailed examination and radiological assessment we suspected of child abuse. Child had multiple fractures in different stages of healing which included bilateral intertrochanteric fractures. Child was operated for bilateral intertrochanteric fractures which appeared relatively fresh compared to other old malunited fractures with open reduction and fixation with titanium elastic nailing and was immobilized by hip spica. Two months postoperatively, there was complete radiological union of fractures and child was being counseled by child psychologist.

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