Orthopaedic trauma in children less than three years old: The orthopaedist??s and pediatrician??s problem

Análise estatística do trauma ortopédico infanto-juvenil do pronto socorro de ortopedia de uma metrópole tropical

“…Some cases present association to bone fractures, many times typical and highly suggestive of children aggression, and therefore, an evaluation by an orthopaedist is important. This professional must be qualified to identify those aggressions and even to investigate if there are signs of multiple fractures or not in different stages of union, which may characterize the so-called Battered-Child Syndrome (17) , the reporting of which is compulsory for the health professional. For Novkov and Kaneva (17) , prognosis is better in children below three years old, since the pediatric and parent's follow-up is done in an attentive manner.…”

“…This professional must be qualified to identify those aggressions and even to investigate if there are signs of multiple fractures or not in different stages of union, which may characterize the so-called Battered-Child Syndrome (17) , the reporting of which is compulsory for the health professional. For Novkov and Kaneva (17) , prognosis is better in children below three years old, since the pediatric and parent's follow-up is done in an attentive manner. It is also very important to ascertain that even if a child is being cared by an adult this does not interfere on the severity of trauma (odds ratio= 1.08), because, even with their presence, 50% of severe injuries and 52% of mild injuries occurred.…”