Child abuse in infants with proximal physeal injuries of the femur
Child abuse in infants with proximal physeal injuries of the femur
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DOI：
10.1097/01.pec.0000117923.65522.6f
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发表时间：
2004-03-01
影响因子：
1.4
通讯作者：
Bruckner, JD
中科院分区：
文献类型：
--
作者：
Jones, JCW;Feldman, KW;Bruckner, JD
目的：儿童虐待是婴儿股骨骨折的常见原因。受虐待婴儿股骨近端骺板骨折较少被重视。我们的报告旨在强调这种罕见的，但临床上重要的造成injuries.Methods：2例报告和文献回顾的股骨近端骨骺骨折的婴儿，包括滥用在此injuries.Conclusion的作用：股骨近端骨骺损伤很少发生在婴儿，但往往导致滥用。由于在4个月大之前缺乏股骨头骨化，临床表现提示髋关节发育不良，因此诊断可能很困难。目前的影像学方法可以区分骨骺损伤和发育性髋关节发育不良。早期识别和治疗可以减少后遗症。
Objective: Child abuse has been recognized to be a common cause of femur fractures in infants. Fractures of the proximal femoral physis in abused infants have been less emphasized. Our report seeks to highlight this infrequent but clinically important inflicted injury.Methods: Report of 2 cases and a literature review of fractures of the proximal femoral physis in infants, including the role of abuse in this injury.Conclusion: Proximal femoral physeal injuries occur infrequently in infants but often result from abuse. Diagnosis may be difficult due to lack of femoral head ossification before 4 months of age and clinical findings suggesting developmental dysplasia of the hip. Current imaging modalities can differentiate physeal injuries from developmental dysplasia of the hip. Early recognition and treatment can minimize sequelae.