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Photovoice is a unique research strategy by which people create and discuss photographs. This technique has been used to elicit the perspectives of those whose voices are often \u2018not heard\u2019 in research, like children. Participants were recruited from a larger three-year prospective trial and included 10 boys (12.3 \u00b1 1.6 years) and 7 girls (11.3 \u00b1 1.6 years). We asked participants to take pictures to explain where their injury occurred (place), what they were doing at the time (context) and how the fracture had happened (mechanism). We also used semi-structured interview techniques. The following key themes emerged from our interviews: (1) the built environment as a key factor that \u2018caused\u2019 their fracture, (2) the fracture experienced as a journey not an event and (3) strategies to prevent fractures. A simple clinical step to potentially reduce subsequent fractures will be for clinicians to have a brief conversation with their young patients and to listen to the child\u2019s personal preventive strategies.<\/jats:p>","DOI":"10.1177\/1367493514551311","type":"journal-article","created":{"date-parts":[[2014,10,18]],"date-time":"2014-10-18T03:14:06Z","timestamp":1413602046000},"page":"98-108","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["\u2018I fell off and landed badly\u2019"],"prefix":"10.1177","volume":"20","author":[{"given":"Joanie","family":"Sims-Gould","sequence":"first","affiliation":[{"name":"Centre for Hip Health and Mobility, Vancouver Coastal Health Research Institute, Vancouver, British Columbia, Canada"},{"name":"Department of Family Practice, University of British Columbia, Vancouver, British Columbia, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Douglas","family":"Race","sequence":"additional","affiliation":[{"name":"Centre for Hip Health and Mobility, Vancouver Coastal Health Research Institute, Vancouver, British Columbia, Canada"},{"name":"Department of Orthopaedics, University of British Columbia, Vancouver, British Columbia, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lynsey","family":"Hamilton","sequence":"additional","affiliation":[{"name":"Rick Hansen Institute, Vancouver, British Columbia, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heather","family":"MacDonald","sequence":"additional","affiliation":[{"name":"Centre for Hip Health and Mobility, Vancouver Coastal Health Research Institute, Vancouver, British Columbia, Canada"},{"name":"Department of Orthopaedics, University of British Columbia, Vancouver, British Columbia, Canada"},{"name":"Child and Family Research Institute, Vancouver, British Columbia, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kishore","family":"Mulpuri","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, British Columbia Children\u2019s Hospital, Vancouver, British Columbia, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heather","family":"McKay","sequence":"additional","affiliation":[{"name":"Centre for Hip Health and Mobility, Vancouver Coastal Health Research Institute, Vancouver, British Columbia, Canada"},{"name":"Department of Family Practice, University of British Columbia, Vancouver, British Columbia, Canada"},{"name":"Department of Orthopaedics, University of British Columbia, Vancouver, British Columbia, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2014,10,17]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-11-461"},{"key":"e_1_3_2_3_1","doi-asserted-by":"publisher","DOI":"10.1353\/cye.2005.0066"},{"key":"e_1_3_2_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/1367493508088550"},{"key":"e_1_3_2_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005131-199302000-00004"},{"key":"e_1_3_2_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/1367493507079561"},{"key":"e_1_3_2_7_1","doi-asserted-by":"publisher","DOI":"10.1359\/jbmr.040902"},{"key":"e_1_3_2_8_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2648.2003.02874.x"},{"key":"e_1_3_2_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/1367493511420185"},{"key":"e_1_3_2_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2214.2008.00812.x"},{"key":"e_1_3_2_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/1077801205280271"},{"key":"e_1_3_2_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2004.09.029"},{"key":"e_1_3_2_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/1525822X05279903"},{"key":"e_1_3_2_14_1","doi-asserted-by":"publisher","DOI":"10.1093\/jpepsy\/23.4.229"},{"key":"e_1_3_2_15_1","unstructured":"ICECI Coordination and Maintenance Group (2004) International Classification of External Causes of Injuries (ICECI). 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