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Toddler's Fracture of Left Tibia

Afiesimama BOA - MedPix (2007)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Toddler's Fracture of Left Tibia

History: Patient is an active 3yo with an unremarkable past medical history found by parents underneath horizontal gym bar in their basement. Child was crying, inconsolable, not able to communicate nature of injury. Incident witnessed by older sibling and described as falling injury from horizontal bar approximately 16 inches. Parent's concern increased as child continued to be inconsolable, complained of left leg and hip pain and was unable to bear weight on left leg. The child was taken to the Emergency Room.

Findings: Acute films (A): There is no soft tissue swelling, the films are remarkable in the AP projection for a complete spiral fracture involving the middle and distal thirds of the left tibia. There is approximately a 2mm lateral distraction in the middle third of the tibia. There is no angulation or rotation noted on this view. The lateral projection also indicates a spiral fracture involving distal and middle tibial shaft. There is no anterior or posterior angulation at the fracture site. The proximal and distal tibial epiphyseal growth plate are intact and without evidence of trauma. There is no fibular fracture noted. Films one year post closed reduction (B) indicate a completely healed spiral fracture of the left tibia. The epiphyseal plate are open both proximally and distally.

No MeSH data available.


See case description
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MPX1898_synpic38303: See case description


Toddler's Fracture of Left Tibia

Afiesimama BOA - MedPix (2007)

See case description
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1898&req=5

MPX1898_synpic38303: See case description

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Toddler's Fracture of Left Tibia

History: Patient is an active 3yo with an unremarkable past medical history found by parents underneath horizontal gym bar in their basement. Child was crying, inconsolable, not able to communicate nature of injury. Incident witnessed by older sibling and described as falling injury from horizontal bar approximately 16 inches. Parent's concern increased as child continued to be inconsolable, complained of left leg and hip pain and was unable to bear weight on left leg. The child was taken to the Emergency Room.

Findings: Acute films (A): There is no soft tissue swelling, the films are remarkable in the AP projection for a complete spiral fracture involving the middle and distal thirds of the left tibia. There is approximately a 2mm lateral distraction in the middle third of the tibia. There is no angulation or rotation noted on this view. The lateral projection also indicates a spiral fracture involving distal and middle tibial shaft. There is no anterior or posterior angulation at the fracture site. The proximal and distal tibial epiphyseal growth plate are intact and without evidence of trauma. There is no fibular fracture noted. Films one year post closed reduction (B) indicate a completely healed spiral fracture of the left tibia. The epiphyseal plate are open both proximally and distally.

No MeSH data available.