Hello, I Would Like Clarification On Few Things Please. The
I would like clarification on few things please. The first being, in a baby approximately 8 weeks of age, does a diaphyseal femur fracture that displaces, do so immediately with the trauma or can it be non displaced and then go on to displace later perhaps through manipulation of the legs? I have heard conflicting information regarding this, however, from a book from a paediatric radiologist it says, “the deformity almost always occurs immediately at the time of the fracture and is the result of the relative displaced positions of the broken ends of the bone at the site of the fracture”. Could you confirm if this is correct please?
Also, can an 8 week old baby move and kick a leg with a displaced or even non displaced, if that’s possible, femur fracture with a power of 5 out of 5 and a tone of normal?
Lastly, how do you test power and tone on an 8 week old baby? Is it possible to do this just by looking or would you need to physically touch the baby?
Thank you kindly.
I would like clarification on few things please. The first being, in a baby approximately 8 weeks of age, does a diaphyseal femur fracture that displaces, do so immediately with the trauma or can it be non displaced and then go on to displace later perhaps through manipulation of the legs? I have heard conflicting information regarding this, however, from a book from a paediatric radiologist it says, “the deformity almost always occurs immediately at the time of the fracture and is the result of the relative displaced positions of the broken ends of the bone at the site of the fracture”. Could you confirm if this is correct please?
Also, can an 8 week old baby move and kick a leg with a displaced or even non displaced, if that’s possible, femur fracture with a power of 5 out of 5 and a tone of normal?
Lastly, how do you test power and tone on an 8 week old baby? Is it possible to do this just by looking or would you need to physically touch the baby?
Thank you kindly.
Diaphyseal fracture is associated with displacement immediately.
Detailed Answer:
Hello,
Thanks for posting your query.
I have read your query in detail.
Femur is the strongest bone of the body. A diaphyseal fracture of the femur in a 8 week old baby happens due to an external trauma and is associated with a displacement immediately. The deformity almost always occurs at the time of fracture.
The information given by pediatric radiologist is correct.
The baby with a fracture of femur cannot move the leg normally even if the fracture is undisplaced.
To test the power, closely watching the baby's normal leg activities can help in a fair estimation of the limb power. Physically touch and examination can further confirm the findings.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Wishing you good health.
Regards.
Dr. Praveen Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal
Diaphyseal fracture is associated with displacement immediately.
Detailed Answer:
Hello,
Thanks for posting your query.
I have read your query in detail.
Femur is the strongest bone of the body. A diaphyseal fracture of the femur in a 8 week old baby happens due to an external trauma and is associated with a displacement immediately. The deformity almost always occurs at the time of fracture.
The information given by pediatric radiologist is correct.
The baby with a fracture of femur cannot move the leg normally even if the fracture is undisplaced.
To test the power, closely watching the baby's normal leg activities can help in a fair estimation of the limb power. Physically touch and examination can further confirm the findings.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Wishing you good health.
Regards.
Dr. Praveen Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal