8 yrs old girl is unable to move her leg, which is swollen

[rakhee]

a 8 yrs old girl is unable to move her leg, which is swollen. On examn. X-ray reveals a spiral # femur, with no callus formation. Malnutrition

Sometimes options given ffw this question include:
Skeletal survey
Nutritional assesment

Sometimes: Malnutrition,osteogenesis imperfecta
Which is appropriate?

[dr-mex]

abscence of callus is diagnostic of non-union.
causes of non-union
1. malignacy, infection
2. distraction of both ends by muscle
3. avascular fragment
4. comminuted fractures specially with infection
5. a fracture in a bone that has stopped to grow
Considering the options I'd go for malnutrition.