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Fracture with butterfly fragment

Case contributed by Matt Skalski
Diagnosis certain

Presentation

Trauma.

Patient Data

Age: 25
Gender: Male
x-ray

Transverse oblique fractures with associated butterfly fragments are present at the proximal third of the fibular diaphysis and middle third of the tibial diaphysis. These fractures have mild lateral angulation of the distal fracture component. There is a 25% medial offset of the fibular fracture.  The butterfly fragments have moderate lateral displacement. 

Annotated image

Annotated image showing a butterfly next to the butterfly fragment, illustrating how it got its name. 

Case Discussion

Typical example of a butterfly fragment

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