[Skip to Content]
[Skip to Content Landing]
September 27, 1971

Head-Injured Child With Multiple Fractures: Reexamined at Skeletal Maturity

Author Affiliations

From the Children's Hospital of Los Angeles and the Fracture Clinic, Massachusetts General Hospital, Boston.

JAMA. 1971;217(13):1847-1849. doi:10.1001/jama.1971.03190130051011

Dr. Wilson: A 7-year-old girl was admitted to Children's Hospital of Los Angeles 23 days after having been struck down in the street by an automobile. Her injuries were a cerebral contusion, closed comminuted fracture of mid-shaft left femur, open fractures of the distal left radius and ulna, a posterosuperior dislocation of the right hip which was not immediately appreciated, intestinal contusions with gross melena, and contusions of both kidneys with hematuria. She had been admitted to a local hospital in coma where resuscitative measures were instituted immediately including tracheostomy, replacement of blood loss by transfusion, and splinting of fractures. Soon after admission, cranial bur holes were made bilaterally, but the patient's comatose state failed to improve significantly.

Upon admission to Children's Hospital, the child was found to be semicomatose. Blood pressure was 150/60 mm Hg, pulse rate was 150 beats per minute, respirations were 25 per minute, and temperature