The radiographic propagation of the spiral fractures was consistent and followed six simple principles. There was a statistically significant difference in the numbers of correctly diagnosed radiographs, before and after the explanation of our findings, by these doctors ( 2 = 14.06, d.f. = 1, p = 0.002).The direction of the torsional force producing spiral fractures can be determined from characteristic features on routine anterior-posterior and lateral radiographs. Determining the direction of the torsional force on radiographs does not seem to be intuitive.These derived six principles will be a useful aid to physicians who manage paediatric spiral fractures where non-accidental injury is being considered.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.