Loder R T, Bookout C
Department of Orthopaedic Surgery, Children's Hospital of Michigan, Detroit.
J Orthop Trauma. 1991;5(4):428-33. doi: 10.1097/00005131-199112000-00007.
We reviewed cases of 75 battered children with fractures over a 2-year period. The average age was 16 months; 57% were boys. There were 154 fractures (2.0 per child); 77% were acute and 23% were old. The most common fracture occurred in the skull (32%) and the most common long bone fracture occurred in the tibia (16%). The most common long bone fracture pattern was transverse (41%); corner fractures accounted for 28% of long bone fractures. An isolated acute fracture was the orthopaedic injury in 65% of the children, whereas multiple fractures in various stages of healing were present in only 13% of children.
我们回顾了75例受虐儿童在两年期间发生骨折的病例。平均年龄为16个月；57%为男孩。共有154处骨折（每名儿童2.0处）；77%为急性骨折，23%为陈旧性骨折。最常见的骨折发生在颅骨（32%），最常见的长骨骨折发生在胫骨（16%）。最常见的长骨骨折类型是横行骨折（41%）；角状骨折占长骨骨折的28%。65%的儿童骨科损伤为孤立性急性骨折，而仅有13%的儿童存在处于不同愈合阶段的多处骨折。
