non accidental injury

Femoral fractures

Aetiology

Paediatric femoral fracture

 

Varies per age group

 

Trauma

- 60%

 

Non Accidental Injury

- 15 - 30%

- suspect if non walker / < 1 year

- walking status single best indicator of risk

- paediatric team to investigate

- history taking from parent

- consider metabolic investigations

 

Non Accidental Injury

Definition

 

Any act or failure to act that

- results in or potentially results in harm / death / physical / emotional / sexual abuse

- by a parent or caretaker who is responsible for the child

 

4 types

 

Neglect 

Physical (punch / kick / bite / burn / shake)

Sexual 

Emotional

 

Risk factors