Toddler fracture

Case contributed by Dr Stefan Lazic

Presentation

Patient landed awkwardly down slide. Refusing to weightbear.

Patient Data

Age: 3 years old
Gender: Female
Modality: X-ray

Subtle oblique lucency across proximal tibial shaft the postero-anteriorly. 

Two weeks later

Modality: X-ray

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-weightbearing, and was followed up in clinic due to high index of suspicion. Repeat x-rays 2 weeks after injury in clinic show callus formation.

This case hopefully highlights the high index of suspicion required in the diagnosis of toddler's fractures.

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Case Information

rID: 50676
Case created: 16th Jan 2017
Last edited: 17th Jan 2017
Inclusion in quiz mode: Included

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