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May 1920


Am J Dis Child. 1920;19(5):375-383. doi:10.1001/archpedi.1920.01910230045007

That fractures do occur during delivery is an established fact. Fortunately, they are not frequent, but these cases cause great anxiety to the physician as well as to the parents.

These fractures are true fractures and not green stick fractures as was believed to be the case, hence deformity must be watched for and guarded against. Truesdell1 has proven this by his studies.

The first problem is how to treat these children. The methods used in the treatment of fractures occurring in adults are not adaptable for infants. Many surgeons have used different devices for the treatment of birth fractures.

For cases of fracture of the femur Scudder2 advises to place the leg in a flexed position on the body similar to the fetal position, the front of the thigh resting on the front of the abdomen, the foot reaching to the shoulder. The trunk is protected by