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Fifteen-minute consultation: Fractures in non-ambulant children with cerebral palsy
  1. Geoff Debelle1,
  2. Helen Morris2,
  3. Nick Shaw3,4,
  4. Adam Oates4
  1. 1 Safeguarding Team, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, UK
  2. 2 Department of General Paediatrics, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, UK
  3. 3 Department of Endocrinology and Diabetes, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, UK
  4. 4 Department of Radiology, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, UK
  1. Correspondence to Dr Geoff Debelle, Safeguarding Team, Birmingham Women's and Children's NHS Foundation Trust, Birmingham B4 6NH, UK; g.debelle{at}nhs.net

Abstract

Objective To describe a safeguarding decision pathway for the assessment of osteopenic fractures in non-ambulant children with cerebral palsy.

Method Literature review and consensus practice of a child safeguarding team, including clinicians and social workers.

Conclusion Low-energy fractures of the lower limb in non-ambulant children with cerebral palsy are relatively common and explained by the presence of reduced bone strength, in the absence of any other unexplained injuries or safeguarding concerns.

  • child abuse
  • endocrinology
  • adolescent health

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Footnotes

  • Contributors All authors contributed to the conception and design of the manuscript following its commission. GD wrote the initial drafts and revisions, following input from the other authors. HM designed the Safeguarding Decision Pathway. NS provided expertise on aspects of osteopaenia and fracture risk and AO provided input on aspects of fracture morphology and fracture dating. All authors contributed to draft revision and agreed the final manuscript. GD assumes full accountability for all aspects of this commissioned work.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Not required.

  • Provenance and peer review Commissioned; externally peer reviewed.

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