Toddler fracture

Case contributed by Dr Sebastian Tschauner

Presentation

Limping young boy that had been able to walk normally.

Patient Data

Age: 1
Gender: Male

Initial trauma study of the right shank

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

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

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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