Rosendahl K, Myklebust R, Ulriksen KF, et al. - Given the lack of data concerning mechanisms linked with fractures in children under 2 years of age, researchers investigated the incidence, mechanisms, pattern and fracture characteristics in a large, population-based cohort of otherwise healthy children. This retrospective, cross-sectional study of children attending the Accident and Emergency department in Bergen, due to an injury warranting radiography and identified 408 children (212 male), 3–23 months of age (mean 17.7 months), for inclusion in this study. A total of 162 fractures were recorded in 149 (77 male) children, suggesting an annual incidence of 5.4 per 1,000, varying from 0.7 per 1,000 for those under 12 months of age, increasing tenfold to 7.3 per 1,000 for children aged 12–24 months of age. Children aged 18–23 months were identified to suffer more than half of the fractures (53.1%). Mostly femur and tibia fractures were recorded in youngest age group, the oldest mostly had forearm fractures (n = 55, 33.9%), followed by tibia fractures (21.6%) and fractures to the clavicle (14.8%). Fall from a chair/bed/table (41.4%), fall from own height (18.5%) or crush injury (15.4%) were the reported mechanisms for the 162 fractures. In 8 of 162 (4.9%) fractures, the history was clearly inconsistent and suspicious of non-accidental injury (NAI). Overall findings suggest rare occurrences of injuries and fractures in young children in general, and non-ambulant children in particular, and these patients should be thoroughly assessed for NAI.