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Spiral fracture - tibia

Case contributed by Fadi Ali
Diagnosis almost certain

Presentation

Right ankle pain and tenderness after falling down.

Patient Data

Age: 5 years
Gender: Male
x-ray

Subtle lucent line involving the distal tibial diaphysis, that appears more obvious at the lateral view. The fibula appears normal. No evidence of ankle dislocation.

Case Discussion

The tibia is the most common site for spiral fracture.

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