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Desmond Brown, MD and Elliott Fisher, MD, MPH

At the time of this study, Desmond Brown was with the Center for the Evaluative Clinical Sciences, Dartmouth Medical School, Hanover, NH. Elliott Fisher is with the Department of Community and Family Medicine, Dartmouth Medical School, Hanover.

Correspondence: Requests for reprints should be sent to Desmond Brown, MD, Boston University School of Medicine, Department of Orthopaedic Surgery, 850 Harrison Ave, Boston, MA 02118 (e-mail: tdesmond.brown{at}bmc.org).

Using an administrative database, we determined rates of femur fracture by year of age for children younger than 6 years and by month of age. The highest rate of femur fracture was in children younger than 1 year and in 2-year-olds; the greatest number of fractures occurred during the third month of life. While femur fractures in children are often due to accidental injury, the reasons for the peak in the first year and the subsequent decline are not clear.