Femur fracture in an infant

doi:10.1136/bmj.b1583

Published 13 May 2009, doi:10.1136/bmj.b1583
Cite this as: BMJ 2009;338:b1583

Endgames

Case report

Femur fracture in an infant

Jenny S Radesky, resident in paediatrics, Naomi F Sugar, clinical professor

¹ Department of Pediatrics, University of Washington School of Medicine and Seattle Children’s Hospital, Seattle, USA

Correspondence to: N F Sugar, Harborview Medical Center MS 359 947, Seattle WA 98108, USA nsugar@u.washington.edu

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

A 4 month old baby was brought to the emergency department becausehe was not moving his left leg. The parents reported that thebaby twisted and fell when his father was changing his nappy.The father caught the baby by his leg before he hit the floor.The parents noted something was wrong immediately and broughtthe baby in for care. The baby had been born at full term afteran uncomplicated pregnancy and delivery and had normal growthand development. The baby’s parents were married and bothemployed, and he was their first child. Radiography showed anacute oblique mid-shaft fracture of the left femur. The babywas clearly in pain when he moved, but his leg did not seemto be swollen. The remainder of the examination was normal.

1 How would you evaluate the history of this patient?

2 Whatother diagnoses should be considered?

3 . . . [Full text of this article]

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