Proximal tibia metaphyseal fracture

Case contributed by Dr Balint Botz

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

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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Case information

rID: 80970
Published: 11th Aug 2020
Last edited: 29th Oct 2020
Inclusion in quiz mode: Included
Institution: University of Pécs

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