A rare case of diaphyseal fractures of the shin bones in a child when jumping on a trampoline. Ways to prevent expert errors using complex analysis of radiography data and case materials: A case report

Abstract

Given the importance of childhood injuries in the structure of common problems associated with childrens health, it is important to determine the exact mechanism of fractures, particularly diaphyseal fractures of the shin bones, during the examination because the specification of the mechanism for the formation of bodily injuries leads to the actual origins of injuries and allows further development of a set of preventive measures to prevent the occurrence of these situations. Moreover, it sometimes allows the defendants to accurately distribute the burden of responsibility for what happened. In the presented expert case, the circumstances of bodily injury described by the subject and her legal representative were inconsistent with the type and nature of fractures received while trampoline jumping and the video recording from the surveillance camera did not provide complete information about the specific conditions of injury. A detailed analysis of the results of shin bone radiography, including determining the morphological features of fractures and their nature, and a frame-by-frame study of the presented video recording. The diaphyseal fractures of the shin bones of atypical localization for a trampoline injury detected in a child could serve as a source of expert errors in determining the mechanism of their occurrence; however, a thorough, comprehensive assessment of all objects for examination, such as medical documents, including X-ray data and case materials, taking into account the age-specific morphology of the bone tissue of the child, enables to determine the exact mechanism of the occurrence of fractures.

Keywords

• children
• diaphyseal fractures
• fracture mechanism
• leg bones