Proximal tibia metaphyseal fracture
Presentation
Parent fell while carrying child. Use of the right lower extremity is limited in comparison with the contralateral one. Fracture?
Patient Data
Age: 10 months
Gender: Male
From the case:
Proximal tibia metaphyseal fracture
X-ray
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Oblique
Proximal metaphyseal buckling of the tibial cortex predominantly on the ventral aspect, with a small, minimally displaced avulsed cortical fragment. Moderate knee soft tissue swelling.
Case Discussion
Proximal metaphyseal tibia fractures typically occur in an older age group (2-6 years), thus it is crucial to consider whether the injury pattern is in line with the history (as in this case), and that there are no signs of a potential NAI.
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