Prevalence of inflicted and neglectful femur shaft fractures in young children in national level I trauma centers

• DOI: 10.1007/s00247-022-05378-8
• Publication Date: 2022-05-07T02:06:47Z
• Authors: Marie-Louise H. J...; Roel Bakx; J. H. Allema; Frank W. Bloemers; Jan A. Ten Bosch; Michael J. R. Edw...; Jan B. F. Hulscher; Claudia M. G. Key...; Egbert Krug; Victor A. de Ridder; W. Richard Spanje...; Arianne H. Teeuw; Hilco P. Theeuwes; Selena de Vries; Ralph de Wit; Rick R. van Rijn; ; Anne de Boer; Esther Edelenbos; J. Carel Goslings; Lia P. G. W. van ...; Annelies Toor; Jasmijn J. M. Ver...; Marjo Affourtit; Jan C. van Ditshu...; Rene M. H. Wijnen; Dagmar R. J. Kempink; Johannes H. J. M....; Tjebbe Hagenaars; Dennis den Hartog; M. A. C. Jansen; A. P. A. Greeven; Floris E. P. Kanters; Annemieke Aalbers...; Arnaud Mulder; Frans Smiers; Rina C. Hartendorf; Audrey A. A. Fidd...; Birgit Levelink; Martijn Poeze; Ivo de Blaauw; Tjarda N. Tromp; Benn Beuker; Inge Reininga; Klaus Wendt; Stasja J. G. Aspe...; Elise M. van de P...
• Keywords: Accidental; Femur fracture; Child neglect

Abstract Background The prevalence of inflicted femur fractures in young children varies (1.5–35.2%), but these data are based on small retrospective studies with high heterogeneity. Age and mobility the child seem to be indicators trauma. Objective This study describes other factors associated neglectful trauma that can used distinguish from accidental fractures. Materials methods included (0–6 years) who presented an isolated fracture at 1 11 level I centers Netherlands between January 2010 2016. Outcomes were classified conclusions Child Abuse Neglect teams or court. Cases which unavailable there was no clear cause reviewed by expert panel. Results 328 children; 295 (89.9%) cases as Inflicted found 14 (4.3%), while 19 (5.8%) neglect. Indicators age 0–5 months (29%, positive likelihood ratio [LR +] 8.35), 6–12 (18%, LR + 5.98) 18–23 (14%, 3.74). neglect 6–11 4.41) (8%, 1.65). There difference morphology among groups. Conclusion It is unlikely ambulatory > 24 caused trauma/neglect. Caution advised younger than because main factor trauma/neglect