Presentation
Fall off skateboard. Failing to weight bear appropriately.
Patient Data
Age: 8
Gender: Male
From the case:
Tibia fracture (importance of 2 views)
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Oblique distal-diaphyseal tibial fracture. It is virtually impossible to see on the AP view even retrospectively.
Case Discussion
This case demonstrates why we always review two views (hopefully orthogonal views) when looking for a fracture; the AP film fails to demonstrate the tibial fracture that is clearly evident on the lateral.
The tibial fracture is oblique, minimally displaced and does not involve the physis.
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