Causes of Common Accidental and Non-Accidental Pediatric Fractures - Differential Diagnosis Algorithm

Accidental Trauma

 - Distal Radius

     • Torus (junction of metaphysis)

     • Green stick (bone bent at convex side

     • Complete (spiral, oblique, transverse)

 - Clavicle Fracture

 - Tibia Fibular Fracture

 - Elbow

     • Supra condylar

     • Lateral supracondylar

 - Toddlers Fracture

     • < 2 y.o.

 - Distal Radius

     • Torus (junction of metaphysis)

     • Green stick (bone bent at convex side

     • Complete (spiral, oblique, transverse)

Non-Accidental Trauma (indication of child abuse)

 - Femur # < 1 y.o.

 - Scapular # Without Traumatize Hx

 - Transverse Fractures <3 y.o.

     • Femur, Humerus, Tibia, Ribs, Radius, Skull, Spine, Ulna, Fibula



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