دوره 34، شماره 2 - ( 3-1405 )                   جلد 34 شماره 2 صفحات 209-203 | برگشت به فهرست نسخه ها

XML English Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Nouri A, Shabani S, arkian S R. Bilateral Intertrochanteric Femoral Fractures in an 11-Month-Old Infant: A Case Report. J Adv Med Biomed Res 2026; 34 (2) :203-209
URL: http://journal.zums.ac.ir/article-1-7858-fa.html
Bilateral Intertrochanteric Femoral Fractures in an 11-Month-Old Infant: A Case Report. Journal of Advances in Medical and Biomedical Research. 1405; 34 (2) :203-209

URL: http://journal.zums.ac.ir/article-1-7858-fa.html


چکیده:   (297 مشاهده)
Pediatric hip fractures are exceedingly rare, accounting for less than 1% of all pediatric fractures. Bilateral intertrochanteric femoral fractures in an infant are almost unheard of and raise significant concern for underlying causes such as high-energy trauma or non-accidental injury. We report an 11-month-old male infant who presented with bilateral intertrochanteric femur fractures under suspicious circumstances. The child’s history was inconsistent with the injury pattern, prompting evaluation for non-accidental trauma. The infant was managed with prompt closed reduction and application of a bilateral hip spica cast. A full skeletal survey and metabolic workup were performed to identify any additional injuries or predisposing conditions. The fractures healed uneventfully after six weeks of immobilization, with follow-up showing satisfactory alignment and no complications. Investigations for osteogenesis imperfecta and other bone fragility disorders were negative. Child protection authorities were notified given the high suspicion of abuse. This case highlights an extremely rare presentation of simultaneous bilateral intertrochanteric fractures in an infant. It underscores the importance of considering child abuse in such scenarios, performing thorough evaluations to exclude underlying pathology, and instituting timely, appropriate management to achieve good outcomes.
 
متن کامل [PDF 687 kb]   (3 دریافت)    
نوع مطالعه: گزارش موردی | موضوع مقاله: Clinical Medicine
دریافت: 1404/7/1 | پذیرش: 1404/12/26 | انتشار: 1405/2/30

فهرست منابع
1. Dial BL, Lark RK. Pediatric proximal femur fractures. J Orthop. 2018;15(2):529-35. [DOI:10.1016/j.jor.2018.03.039] [PMID] [PMCID]
2. Gilban HM, Mirdad TM, Jenyo M. Simultaneous post traumatic bilateral cervico-trochanteric femoral neck fractures in a child: a case report. West Afr J Med. 2005;24(4):348-9. [DOI:10.4314/wajm.v24i4.28235] [PMID]
3. Kocher MS, Kasser JR. Orthopaedic aspects of child abuse. J Am Acad Orthop Surg. 2000;8(1):10-20. [DOI:10.5435/00124635-200001000-00002] [PMID]
4. Chauvin-Kimoff L, Allard-Dansereau C, Colbourne M. The medical assessment of fractures in suspected child maltreatment: Infants and young children with skeletal injury. Paediatr Child Health. 2018;23(2):156-60. [DOI:10.1093/pch/pxx131] [PMID] [PMCID]
5. Jayakumar P, Barry M, Ramachandran M. Orthopaedic aspects of paediatric non-accidental injury. J Bone Joint Surg Br. 2010;92(2):189-95. [DOI:10.1302/0301-620X.92B2.22923] [PMID]
6. Flaherty EG, Perez-Rossello JM, Levine MA, Hennrikus WL. Evaluating children with fractures for child physical abuse. Pediatrics. 2014;133(2):e477-89.
7. Scherl SA, Miller L, Lively N, Russinoff S, Sullivan CM, Tornetta P, 3rd. Accidental and nonaccidental femur fractures in children. Clin Orthop Relat Res. 2000(376):96-105. [DOI:10.1097/00003086-200007000-00014] [PMID]
8. Baldwin K, Pandya NK, Wolfgruber H, Drummond DS, Hosalkar HS. Femur fractures in the pediatric population: abuse or accidental trauma? Clin Orthop Relat Res. 2011;469(3):798-804. [DOI:10.1007/s11999-010-1339-z] [PMID] [PMCID]
9. Bali K, Sudesh P, Patel S, Kumar V, Saini U, Dhillon MS. Pediatric femoral neck fractures: our 10 years of experience. Clin Orthop Surg. 2011;3(4):302-8. [DOI:10.4055/cios.2011.3.4.302] [PMID] [PMCID]
10. Loder RT, Feinberg JR. Orthopaedic injuries in children with nonaccidental trauma: demographics and incidence from the 2000 kids' inpatient database. J Pediatr Orthop. 2007;27(4):421-6. [DOI:10.1097/01.bpb.0000271328.79481.07] [PMID]

بازنشر اطلاعات
Creative Commons License این مقاله تحت شرایط Creative Commons Attribution-NonCommercial 4.0 International License قابل بازنشر است.

کلیه حقوق این وب سایت متعلق به Journal of Advances in Medical and Biomedical Research می باشد.

طراحی و برنامه نویسی : یکتاوب افزار شرق

© 2026 CC BY-NC 4.0 | Journal of Advances in Medical and Biomedical Research

Designed & Developed by : Yektaweb