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- Title
Humeral fracture in non-ambulant infants-a possible accidental mechanism.
- Authors
Somers, John; Halliday, Katharine; Chapman, Stephen
- Abstract
Background: Humeral fracture in a non-ambulant infant younger than 1 year is suspicious for a non-accidental injury unless there is a credible accidental explanation. A previously unrecognised accidental mechanism was described in 1996 whereby a 5-month-old infant was rolled by a 3-year-old sibling from a prone to a supine position. Objective: To investigate the widely accepted view that an infant with limited mobility cannot sustain a fracture of the humerus by his or her own actions in the absence of the intervention of an external party. Materials and methods: We present seven cases of non-ambulant infants between 4 and 7 months of age in whom an isolated humeral fracture was the only injury present. Results: In each case the caregiver described the fracture occurring when the child rolled over, trapping the dependent arm, without the intervention of another party. Conclusion: There is no proof for this mechanism in the form of an independent witness or video recording. However, we propose that this mechanism is worthy of further consideration as a rare and unusual cause for the injury. Further study is required.
- Subjects
HUMERUS injuries; INFANTS' injuries; SUPINE position; HUMAN locomotion; INFANT health; PREVENTION; DIAGNOSIS
- Publication
Pediatric Radiology, 2014, Vol 44, Issue 10, p1219
- ISSN
0301-0449
- Publication type
Article
- DOI
10.1007/s00247-014-2954-8