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Original ArticleOpen Access
Causes of Femoral Shaft Fracture in Children Under Five Years of Age
Jeerathanyasakun Y 
,
Hiranyavanitch P ,
Bhummichitra D ,
Sukswai Pi ,
Kovitvanitcha D ,
Thumkunanon V
,
Hiranyavanitch P ,
Bhummichitra D ,
Sukswai Pi ,
Kovitvanitcha D ,
Thumkunanon V PAl CHIT HIRANY A V ANITCH, MD**,
PI SIT SUKSW AI, MD*,
VEERASAK THUMKUNANON, MD*,
Objective : To study the causes of femoral shaft fracture in children younger than 5 years of
age.
Study design : Retrospective, descriptive study.
Patients and Method : Medical records and radiographs of 39 children younger than 5 years
of age with femoral shaft fractures treated in Queen Sirikit National Institute of Child Health during
the years 1996-2001 were reviewed. The responsible causes for the femoral shaft fracture given by
caretakers by interview were collected.
Results : The most common history was falling or jumping from a height (36%) followed by
traffic accidents (26%) and object or person falling on top of them (23%) respectively. Only one case
presented with a history of abuse. 'Nine cases were suspected of abuse, but, without further investiga-
tions it was not possible to identify the exact cause of fracture.
Conclusion : Histories given by caretakers for the cause of femoral shaft fracture in children
younger than 5 years of age are varied. The orthopedists should find out the exact cause of fracture to
prevent missed or delayed diagnosis of abuse that may have occurred.
Key word : Femoral Shaft Fracture, Cause, Children Under 5 years
PI SIT SUKSW AI, MD*,
VEERASAK THUMKUNANON, MD*,
Objective : To study the causes of femoral shaft fracture in children younger than 5 years of
age.
Study design : Retrospective, descriptive study.
Patients and Method : Medical records and radiographs of 39 children younger than 5 years
of age with femoral shaft fractures treated in Queen Sirikit National Institute of Child Health during
the years 1996-2001 were reviewed. The responsible causes for the femoral shaft fracture given by
caretakers by interview were collected.
Results : The most common history was falling or jumping from a height (36%) followed by
traffic accidents (26%) and object or person falling on top of them (23%) respectively. Only one case
presented with a history of abuse. 'Nine cases were suspected of abuse, but, without further investiga-
tions it was not possible to identify the exact cause of fracture.
Conclusion : Histories given by caretakers for the cause of femoral shaft fracture in children
younger than 5 years of age are varied. The orthopedists should find out the exact cause of fracture to
prevent missed or delayed diagnosis of abuse that may have occurred.
Key word : Femoral Shaft Fracture, Cause, Children Under 5 years
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