A 37-year-old female asked:
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can a six femur bone sorial fracture happen without abuse in a 6 month old infant?

3 doctor answers
Dr. Christopher Calendine
23 years experience Pediatrics
High Impact Twisting: Spiral fractures of long bones like femur are not common in infants, require large, torsion force, and should always raise suspicion of abuse. Detailed history and skeletal bone survey for any other fractures is warranted. Spiral fractures can occur in accidental, unintentional trauma.
Answered on Jan 26, 2013
Dr. Joseph Mele
31 years experience Plastic Surgery
Anything is possible: Femur fractures in infants are unusual. However, it is certainly possible for this to happen without abuse. Fractures in infants are treated with a higher index of suspicion, because six month olds can't do the activities normally associated with long bone fractures, and there are laws requiring physicians to report suspected abuse in infants and the ederly who are not able to care for themselves.
Answered on Apr 1, 2019
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Dr. James Ferguson
45 years experience Pediatrics
Unlikely: Spiral fractures in an infant are abuse until proven otherwise. They require a twisting force that the baby cannot do to themselves in any fashion.
Answered on Jul 30, 2017

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A 44-year-old member asked:
Dr. Anthony LaBarbera
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No: This would be caused by abuse.
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A 35-year-old member asked:
Dr. Heidi Fowler
24 years experience Psychiatry
Trauma: Violence toward an infant.

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