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Tibia fracture (importance of 2 views)

Case contributed by Dr Jeremy Jones


Fall off skateboard. Failing to weight bear appropriately.

Patient Data:

Age: 8
Gender: Male
Modality: X-ray

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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