Video confirmation of an infant short fall causing complex mandible fracture

Mandible fractures are uncommon in young infants.Prior literature has described details of infants and toddlers with mandible fractures who received child abuse consultation.To the authors' knowledge, there has been no report about video confirmation of the injury mechanism for mandible fracture in a young infant.We report a 2-month-old infant who sustained a left mandibular condyle fracture after a fall from a kitchen countertop with frontal impact.Allegedly, a 15-month-old sibling pulled the infant to the floor while in the care of a babysitter.A full non-accidental trauma evaluation was completed whose result was unremarkable.The infant did not require surgical intervention and was followed as an outpatient.This case highlights the challenging differential diagnosis between accidental and non-accidental trauma, the use of home surveillance video for confirming the injury mechanism, and therapeutic options for the complex mandible fracture.