Spiral fracture

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An x-ray image of a spiral fracture to the left humerus of a 27-year-old male. The injury was sustained during a fall. Humerus spiral fracture.png
An x-ray image of a spiral fracture to the left humerus of a 27-year-old male. The injury was sustained during a fall.

A spiral fracture (a.k.a. torsion fracture) is a bone fracture occurring when torque (a rotating force) is applied along the axis of a bone. [1] Spiral fractures often occur when the body is in motion while one extremity is planted. For example, a spiral fracture of the tibia (the shinbone) can occur in young children when they fall short on an extended leg while jumping. This occurrence is known as "toddler's fracture". Spiral fractures are also recognized as being suspicious in very young children since to obtain a fracture of this sort requires forceful twisting or jerking of the limbs. Child abuse (physical abuse) and certain conditions such as osteogenesis imperfecta (OI) are considered differentials when identifying spiral or torsion fractures. [2]

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Toddler's fractures are bone fractures of the distal (lower) part of the shin bone (tibia) in toddlers and other young children. The fracture is found in the distal two thirds of the tibia in 95% of cases, is undisplaced and has a spiral pattern. It occurs after low-energy trauma, sometimes with a rotational component.

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References

  1. "Spiral Fracture". Harvard University. Archived from the original on 8 August 2010. Retrieved 25 November 2010.
  2. Lukefahr M.D., James. "Child Abuse and Neglect Fractures". www.utmb.edu. University of Texas Health Science Center. Archived from the original on 26 August 2016. Retrieved 15 December 2014.