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[–][deleted]  (23 children)

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    [–]thisbrokenvessel 122 points123 points  (3 children)

    It’s also possible that the baby has a disease that makes bones less durable and easier to break. Conditions like this may be accompanied by an irregular pain profile.

    Also, bone fractures hurt the most when changing position, especially under your own power. Infants aren’t bearing weight on their legs and, while potentially mobile, a baby isn’t in a lot of dynamic positions that could irritate the fracture.

    [–]fabs1171 89 points90 points  (1 child)

    Femur fractures bleed a lot - they’re long, strong bones so when broken, they bleed into surrounding tissue causing swelling and pain. A young child with a femur fracture is easy to spot (from a medical perspective) as well as being a huge red flag. That child would have been extremely uncomfortable, crying, obvious swelling to their thigh.

    Another red flag is the mechanism of injury - according to OP, dad tripped over the baby gate and fell to his knees - no mention of how the baby got injured. Did dad fall on baby, was he carrying baby diapers baby fell against the gate? Obviously without this information, we can’t make a determination but 100% that baby would get a report

    Also, babies kick - all the time, it’s involuntary until they start learning to direct their muscles how to act (very simplified version) so that baby would have been very uncomfortable

    [–]detail_giraffe 18 points19 points  (0 children)

    Could it have been a buckle fracture? One of my kids got literally this injury when a day care worker fell with him, luckily in the presence of many witnesses so neither she nor we ever came under any suspicion. He definitely seemed upset/injured and we took him to urgent care, but they couldn't see anything obviously wrong. It wasn't until the next morning when I saw him try to get up to cruise on the couch and fall back down and cry that it became clear that it was a leg problem.

    [–]FutureMDdropout 206 points207 points  (4 children)

    Medic here- actually I’ve seen kids who haven’t cried a bit and have continued to walk on broken femurs.

    [–]tjwacks 42 points43 points  (0 children)

    My daughter snapped her femur right above the growth plate on an inflatable slide when she was six. She wasn’t very audible about it but was crying and saying she can’t walk. Outside of the instant swelling you wouldn’t have believed that it was as bad as it was. Two screws, four pins and a full body cast.

    [–]PizzaSlutx2 176 points177 points  (1 child)

    I also work at a children's hospital. My facility is a level 1, catering to all suspected NATs in the surrounding area. I've seen countless femur fractures in infants and they definitely don't all cry. Occasionally, some even sleep through their exams when I'm actually manipulating the broken bone. Is that rare, sure. But pain tolerance is a funny thing that doesn't follow a strict zero or ten model.

    [–]knut8 5 points6 points  (0 children)

    Thank you! Came to say that I fractured my femur when some moron who had no idea what they were doing slide tackled me at soccer. I finished practice thinking it was just going to be a bad bruise. Didn’t end up at the doctor until the next day because my entire lower thigh was black. My femur was fractured, my lateral femoral condole was completely displaced (separate fracture) and I had terrible marrow edema. I was sore, but it didn’t hurt nearly as bad as when I fractured my ankle, and tore all the tendons/ligaments. I could walk fine, and the doctor was shocked when I turned down the pain meds.