Presentation
Injury after jumping off a bed. Failing to weight-bear.
Patient Data
There is a transverse/oblique fracture through the proximal tibial metaphysis. It is a complete fracture with buckling of the anterior cortex.
Zoomed up images of the proximal tibial fracture with annotations of the fracture lines (dotted blue) and angulation of the anterior cortex.
Case Discussion
Complete fractures (cf. incomplete fractures) of the tibia tend to be distal fractures, and in young children are usually oblique, e.g. Toddler fracture. A proximal injury is less common.
This is an oblique fracture, rather than a spiral fracture (where there is rotation of the distal fracture fragment along the axis of the bone). Spiral fractures are more common in older children and adults.
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