Metaphyseal corner fracture (child abuse)

Case contributed by Dr Jan Frank Gerstenmaier

Presentation

This toddler was brought to the ED with irritability.

Patient Data

Age: 0
Gender: Male
X-ray

Radiographs of left lower leg

There is a subtle fracture at the anterior aspect of the distal left tibia.

There is a subtle fracture at the anterior aspect of the distal left tibia

Case Discussion

Appearances are consistent with a metaphyseal corner fracture.

In this age group, a metaphyseal injury is not in keeping with accidental trauma. A metaphyseal corner fracture is highly specific for non-accidental injury in a non-ambulant infant. A notable exception is obstetric trauma during difficult delivery.

In this case, there were no other radiological features of NAI.

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Case information

rID: 22589
Case created: 9th Apr 2013
Last edited: 10th Aug 2017
Inclusion in quiz mode: Included

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