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Emergency Medicine Journal 2009;26(Suppl 1):11; doi:10.1136/emj.2009.082081k
© 2009 BMJ Publishing Group Ltd and the College of Emergency Medicine.

ABSTRACTS FOR APEM SESSION

Abstracts for APEM session, Wednesday 16 September 13.45–15.15, Read Lecture Theatre

"toddlers" fracture: the importance of a complete clinical assessment

A. Roche, P. Brown, S. Rani, C. Landes, J. Sampath

Alder Hey Hospital

The first 150 words of the full text of this article appear below.


Introduction

Leg injuries in young children are a frequent presentation to the ED. Tibial fractures are often assumed to be simple "toddlers" fractures; however, injury patterns can differ significantly. This study assesses the doctors’ approach and clinical documentation for lower leg fractures and identifies patterns which may identify those at risk for non-accidental injury (NAI).


Methods

Patients aged <3 years with a diagnosis of tibial fracture assessed in the emergency/orthopaedic department from June 2007 to June 2009 were included. Case notes and radiographs were reviewed retrospectively. Patient/injury demographics were recorded with documentation of risk factors (ie, age, walking status, no mechanism of injury, delayed presentation, unwitnessed, previous presentation with fracture) associated with NAI. Radiographs were reviewed for injury patterns and correlated with mechanism of injury. Child protection services intervention was documented. The Fisher exact test was used to analyse the association . . . [Full text of this article]


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