Presentation
Landed awkwardly down a playground slide. Refusing to weight-bear on the left lower limb.
Patient Data
Subtle oblique lucency across proximal tibial shaft the postero-anteriorly.
The oblique lucency across proximal tibial shaft the postero-anteriorly is more obvious on the lateral projection two weeks after injury. New periosteal reaction posteriorly, also best seen on the lateral.
Case Discussion
Initial x-rays were reported as normal and without a red dot. The patient was kept in cast and non-weight-bearing and was followed up in the clinic due to a high index of suspicion. Repeat x-rays 2 weeks after injury in the clinic show callus formation.
This case hopefully highlights the high index of suspicion required in the diagnosis of toddler's fractures.
Unable to process the form. Check for errors and try again.