Child Protection Teams evaluated 44 patients (45%) and determined that 24 of those had 25 fractures caused by abuse (25% of the total study population).Among children with fractures determined to have been caused by abuse, the most common location was the distal humerus (50%) and the most common types were transverse and oblique (25% each) however, transverse and oblique fractures were also seen in patients whose injuries were determined to have been non-abusive. The most common fracture location was the distal humerus (65%) and the most common fracture type was supracondylar (48%). The 97 eligible patients had 100 humerus fractures. The main outcome measures were the type of fracture and the etiology of the fracture (abuse vs not abuse). Electronic medical records were reviewed for eligible patients evaluated between Septemand Januat two children's hospitals in Chicago, IL. To better identify factors discriminating between abusive and non-abusive humerus fractures, this retrospective study examined the characteristics and mechanisms of injuries causing humerus fractures in children less than 18 months of age. Fractures are the second most common abusive injury occurring in young children, particularly those under 2 years of age.
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