Role of intentional abuse in children 1 to 5 years old with isolated femoral shaft fractures

Laurel C. Blakemore, Randall T. Loder, Robert N. Hensinger

Research output: Contribution to journalArticle

41 Scopus citations


We reviewed 42 children, aged 1-5 years, with isolated femoral shaft fractures to investigate the possible role of intentional injury in these children. Those children with documented motor vehicle accidents or pathologic fractures were excluded. Follow-up from the Department of Social Services regarding the potential for the fractures being inflicted was obtained. The average age of the children was 3.1±1.2 years; the fracture was spiral in 28, oblique in six, and transverse in eight; history of a fall was present in 34 and absent in eight. The history was considered suspicious for intentional injury in 14 children. In all 42 children, only one fracture was documented to be inflicted; one other child had prior documentation of intentional injury. From this review, the likelihood of intentional injury to the femoral shaft appears to be low; unfortunately, there were no discriminating clinical parameters to help to determine which injuries were intentional. The clinician should continue to have a high index of suspicion and have the circumstances investigated if concern exists regarding the fracture.

Original languageEnglish (US)
Pages (from-to)585-588
Number of pages4
JournalJournal of Pediatric Orthopaedics
Issue number5
StatePublished - Aug 27 1996
Externally publishedYes


  • Battered child
  • Diaphyseal
  • Femur
  • Fracture
  • Spiral/oblique

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Orthopedics and Sports Medicine

Fingerprint Dive into the research topics of 'Role of intentional abuse in children 1 to 5 years old with isolated femoral shaft fractures'. Together they form a unique fingerprint.

  • Cite this