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Fractures occurring after the neonate is discharged home may be due to accidental falls related to clumsiness on the part of the carers.

Other possibilities, however, are child abuse and abnormal bone fragility.

The literature review presented herein is designed to assist orthopaedic surgeons in the diagnosis and management of children with fractures before 18 months of age, in compliance with French legislation, which has undergone major changes over the last quarter century.

Reports have shown that fractures happen much earlier in people living with HIV than those who are HIV-negative.

"An increase of bone fractures were found among 50 - 59-year-old HIV-positive men, highlighting the importance of osteoporosis screening for HIV-infected men above the age of 50,” researchers wrote.

While it’s uncertain at what age an HIV-positive person should start screening themselves for bone fractures, the study shows the risk for bone fractures increased in HIV-positive people who have hepatitis C.

Studies of children with underlying bone disease were excluded.

Studies of radiological dating of fractures were eligible for inclusion.The radiographs were reviewed by two pediatric radiologists with 30 and 15 years experience, respectively.The authors limited their study to birth-related clavicular fractures and readers were blinded to infant age, wrote the authors.This review concluded that the evidence base for X-ray dating of fractures in children to identify possible abuse is sparse.The review had some limitations but the fact that only three studies were found, despite a thorough search, supports the authors' conclusions.




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