Back to Journals » Orthopedic Research and Reviews » Volume 2

Multiple fractures in infancy: scurvy or nonaccidental injury?

Authors Paterson C

Published 9 September 2010 Volume 2010:2 Pages 45—48

DOI https://doi.org/10.2147/ORR.S13043

Review by Single-blind

Peer reviewer comments 2


Colin R Paterson
Formerly of Department of Medicine, University of Dundee, Dundee, Scotland, UK

Abstract: The child with unexplained fractures has a differential diagnosis that includes nonaccidental injury but also a number of bone disorders including osteogenesis imperfecta and rickets. This paper reports a 14-month-old girl who was found to have seven fractures, several hematomas and widespread sub-periosteal reactions. She was found to have biochemical evidence of vitamin C deficiency. While nonaccidental injury could not be excluded, it seemed likely that the major cause of the fractures was scurvy. It is important to consider the whole differential diagnosis in a child with unexplained fractures.

Keywords: scurvy, vitamin C deficiency, nonaccidental injury, fractures, ascorbic acid

Creative Commons License This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.

Download Article [PDF]