Presentation
Acute onset of left lower limb swelling and redness.
Patient Data
Age: Three months
Gender: Female
From the case:
Non-accidental injury
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Subacute fractures of the distal tibia and distal fibula. Metaphyseal corner fracture of the proximal/medial tibia is also evident.
Case Discussion
Fracture age that does not correspond with the history, especially in non-ambulant children should raise suspicion of non-accidental injuries. Metaphyseal corner fractures are highly suspicious, and are almost pathognomonic.