Presentation
Fall on outstretched arm. Not using arm.
Patient Data
Age: 6 years
Gender: Female
From the case:
Distal radial buckle and radial neck fractures
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/22265/annotated_viewer_json?lang=us"}
There is an obvious buckle fracture of the distal radius. However, careful inspection of the proximal radius should draw your attention to angulation of the radial neck.
From the case:
Distal radial buckle and radial neck fractures
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/22266/annotated_viewer_json?lang=us"}
Confirms radial neck fracture.
Case Discussion
It is always important to review the entire film. Even when the diagnosis is obvious, reviewing the remainder of the film often raises additional diagnoses.
Here, the distal radial buckle fracture is obvious. The slight angulation of the proximal radius is suspicious for a radial neck fracture - and this is confirmed on a dedicated view.
Unable to process the form. Check for errors and try again.