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Distal radius and ulna fracture - osteogenesis imperfecta

Case contributed by Jason Szczepanski
Diagnosis certain

Presentation

Fall in the playground. Pain and deformity to arm. Known Osteogenesis Imperfecta.

Patient Data

Age: 6 years
Gender: Male

Fracture through metaphysis of both distal radius and distal ulna. Radial translation noted on coronal plane and dorsal angulation sagitally. 

Dense stripes in metaphysis of forearm, metacarpals and distal humerus suggestive of previous bisphosphonate therapy.

Case Discussion

This patient had previously been treated with bisphosphonate therapy for his osteogenesis imperfecta, evidenced by the zebra stripe sign (bones).

His injury was treated with a general anesthetic, manipulation and plaster. His fracture healed without complication.

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