Tibia fracture (importance of 2 views)

Case contributed by Dr Jeremy Jones


Fall off skateboard. Failing to weight bear appropriately.

Patient Data

Age: 8
Gender: Male
Modality: X-ray

Oblique distal-diaphyseal tibial fracture. It is virtually impossible to see on the AP view even retrospectively.

Case Discussion

This case demonstrates why we always review two views (hopefully orthogonal views) when looking for a fracture; the AP film fails to demonstrate the tibial fracture that is clearly evident on the lateral.

The tibial fracture is oblique, minimally displaced and does not involve the physis.

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Case Information

rID: 6063
Diagnostic certainty: Certain
System: Musculoskeletal
Inclusion in quiz mode: Included

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