Presentation
Fell off ladder in jungle gym from height of 1.5 m, refuses to move right arm.
Patient Data
Age: 16 months
From the case:
Forearm fractures - toddler
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Radius: midshaft oblique fracture and distal metaphyseal torus fracture.
Ulna: bowing fracture and distal metaphyseal torus fracture.
Case Discussion
Plain film of right forearm shows three different types of fractures: bowing, torus (buckle) and complete oblique fracture.
Cases like these should raise a red flag for child abuse: the child is too young to climb a ladder, let alone to a height of 1.5 m (~5 feet), and there are forearm fractures in several locations. Fractures of different ages (not in this case) are highly suggestive of non-accidental injury.
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