Abusive spiral fractures of the humerus: a videotaped exception.
Abusive spiral fractures of the humerus: a videotaped exception.
复制标题
肱骨虐待性螺旋骨折：录像中的例外情况。
DOI：
10.1001/archpedi.1996.02170270108021
复制
发表时间：
1996
影响因子：
--
通讯作者：
C. Jenny
中科院分区：
文献类型：
--
作者：
K. Hymel;C. Jenny
四肢骨折是受虐待儿童最常见的骨骼损伤。1-4幼儿最容易受到伤害，造成的骨骼创伤有80%发生在18个月以下的婴儿身上。5在产前婴儿中，长骨螺旋状骨干骨折被认为是造成创伤或虐待儿童的高度可疑因素。6、7所有人都应清楚地了解虐待儿童这一普遍信条的例外情况。严重受伤事件被录像带记录下来的情况很少见。我们总结了两个录像病例，这两个病例展示了一个相同的、无意的机制--前庭婴儿中干螺旋骨折的机制。在患者1中，一名5个月大男孩的父母偶然拍摄了他们的婴儿在家中无意中发生的右肱骨螺旋骨折损伤。在患者2中，一名3个月大女孩的父亲试图解释他是如何折断女儿的左肱骨的
Fractures of the extremities are the most common skeletal injuries occurring in abused children.1-4Young infants are most vulnerable, with 80% of all inflicted skeletal trauma occurring in infants younger than 18 months of age.5In preambulatory infants, spiral diaphyseal fractures of the long bones are considered highly suspicious for inflicted trauma or child abuse.6,7Exceptions to this widely held tenet of child abuse should be clearly understood by all. It is rare for a serious injury event to be captured on videotape. We present summaries of two videotaped cases that demonstrate an identical,unintentionalmechanism of midshaft spiral humeral fracture in preambulatory infants. In patient 1, parents of a 5-month-old boy fortuitously videotaped their infant's unintentional right humeral spiral fracture injury as it occurred in their home. In patient 2, the father of a 3-month-old girl sought to explain how he broke his daughter's left humerus