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February 13, 1967

Fever Following Trauma in Childhood

Author Affiliations

From the Department of Orthopedics, University of Washington, School of Medicine, and Children's Orthopedic Hospital and Medical Center, Seattle.

JAMA. 1967;199(7):503-504. doi:10.1001/jama.1967.03120070115026

FEVER following fractures of long bones is usually attributed to the resorption of the hematoma and the products of tissue damage. Despite the frequency of trauma and the extensive volume of medical literature on fever, this relationship has been inadequately documented. Knowledge of the frequency, onset, duration, and magnitude would be helpful in accessing the significance of fever in the postinjury period. The purpose of this study is to document this relationship in children.

Materials  The clinical courses of 78 children who had sustained unilateral closed fractures of the femoral shaft were studied. The children were in good health prior to the injury, and all were treated in either Bryant's or Russell's traction for a mean of 19 days prior to spica cast immobilization and discharge. Ages ranged from birth to 12 years with a peak incidence of fracture at 3 years of age and a gradual decline in frequency