Is a Parry Fracture-An Isolated Fracture of the Ulnar Shaft-Associated with the Probability of Abuse in Children between 2 and 16 Years Old?

K. Hermans, D. Fransz*, L. Walbeehm-Hol, P. Hustinx, H. Staal

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

1 Citation (Web of Science)

Abstract

A parry fracture is an isolated fracture of the ulnar shaft. It occurs when the ulna receives the full force of an impact when the forearm is raised to protect the face. The aim of this study is to assess a possible association between a parry fracture and the probability of abuse in children. In this retrospective, observational, multicenter study, we identified patients between 2 and 16 years old who had been treated for an isolated ulnar shaft fracture. Patient characteristics were registered, anonymized radiographs were rated, and charts were screened for referral to a child protective team. A total of 36 patients were analyzed. As no referrals were registered during follow-up, the primary outcome was changed to a perpendicular force as trauma mechanism. Univariable regression analysis and independent t-test both showed no significant association between patient factors or radiographic classification, and the reported trauma mechanism. We were unable to determine an association between a parry fracture and the probability of abuse. Since trauma mechanism does have a biomechanical effect on the fracture type, we would advise that a very clear reconstruction (and documentation) of the trauma mechanism should be established when a parry fracture is identified on radiographs.
Original languageEnglish
Article number650
Number of pages8
JournalChildren-Basel
Volume8
Issue number8
DOIs
Publication statusPublished - 1 Aug 2021

Keywords

  • non-accidental trauma
  • self-defense
  • violence
  • adolescent
  • dexterity
  • biomechanics
  • AGREEMENT
  • KAPPA

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