0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Abusive Spiral Fractures of the Humerus: A Videotaped Exception

Kent P. Hymel, MC, USAF; Carole Jenny, MD, MBA
Arch Pediatr Adolesc Med. 1996;150(2):226-228. doi:10.1001/archpedi.1996.02170270108021.
Text Size: A A A
Published online

Fractures of the extremities are the most common skeletal injuries occurring in abused children.1-4 Young infants are most vulnerable, with 80% of all inflicted skeletal trauma occurring in infants younger than 18 months of age.5 In preambulatory infants, spiral diaphyseal fractures of the long bones are considered highly suspicious for inflicted trauma or child abuse.6,7 Exceptions to this widely held tenet of child abuse should be clearly understood by all.

It is rare for a serious injury event to be captured on videotape. We present summaries of two videotaped cases that demonstrate an identical, unintentional mechanism of midshaft spiral humeral fracture in preambulatory infants. In patient 1, parents of a 5-month-old boy fortuitously videotaped their infant's unintentional right humeral spiral fracture injury as it occurred in their home. In patient 2, the father of a 3-month-old girl sought to explain how he broke his daughter's left humerus

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

* * SCHEDULED MAINTENANCE * *

Our websites may be periodically unavailable between midnight and 04:00 ET Thursday, July 10th, for regularly scheduled maintenance.

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();