Toddler fracture

Case contributed by Dr Sebastian Tschauner


Limping young boy that had been able to walk normally.

Patient Data

Age: 1
Gender: Male

Initial trauma study of the right shank

Modality: X-ray

No displaced fracture visible.

Questionable discrete translucency in the distal tibia. Therefore a fracture cannot be ruled out. A follow-up examination was recommended.

Control study after one week

Modality: X-ray

Typical appearance of a Toddler fracture of the distal tibia. Compared to the initial X-rays, callus has formed along the tibia and the fracture line itself is more visible.

Frontal projections of initial and control study

Modality: Annotated image

Red arrows point at the fracture line.

Blue arrows show callus formation.

Case Discussion

Typical presentation of a Toddler fracture that was nearly invisible on the initial standard trauma X-ray studies. This undisplaced spiral fracture of the distal tibia becomes more visible after 1 or 2 weeks, after the formation of callus and demarcation of the fracture line has taken place.

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Case Information

rID: 49123
Case created: 10th Nov 2016
Last edited: 7th Apr 2017
Inclusion in quiz mode: Included
Excluded from licensing

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