Aims: Infants and toddlers with multiple unexplained fractures are often victims of inflicted injury. However, several medical conditions can also cause multiple fractures in children in this age group. In this report, the differential diagnosis of multiple fractures is presented, and diagnostic testing available to the clinician is discussed. The hypothetical entity “temporary brittle-bone disease” is also examined. Although frequently offered in court cases as a cause of multiple infant fractures, there is no evidence that this condition actually exists.
Intended audience: Paediatricians.
Publication history information: Published September 2006.
Access: Available to the general public.