Bilateral transphyseal fractures: Is there more than we can see?

  • Maria Ana Serrado Department of Radiology, Hospital Dr. Nélio Mendonça
  • Natacha Abreu Department of Radiology, Hospital Dr. Nélio Mendonça
  • Pedro Paulo Mendes Department of Pediatric Radiology, Hospital Dona Estefânia, Centro Hospitalar de Lisboa Central
  • Pedro Alves Department of Pediatric Radiology, Hospital Dona Estefânia, Centro Hospitalar de Lisboa Central
Keywords: claudication, magnetic resonance, non-acidental trauma, radiography

Abstract

Introduction: Claudication is a common complaint in children, and diagnosis of underlying etiologies is challenging. In toddlers, the most likely causes of gait alterations can be divided into five groups: inflammatory/infectious; neurologic; developmental/congenital; neoplastic; and post-traumatic.
Case report: Here in is reported the case of a three-year-old boy with claudication diagnosed with bilateral proximal femoral transphyseal fractures by plain radiograph and magnetic resonance imaging.
Conclusion: When a non-ambulatory child presents with femur fractures, clinical history should address specific questions to determine whether the explanation put forth can reasonably explain the injury. Prompt diagnosis is key for early treatment and prevention of potential complications.

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Published
2019-12-16
How to Cite
Serrado, M. A., Abreu, N., Mendes, P. P., & Alves, P. (2019). Bilateral transphyseal fractures: Is there more than we can see?. NASCER E CRESCER - BIRTH AND GROWTH MEDICAL JOURNAL, 28(4), 228-231. https://doi.org/10.25753/BirthGrowthMJ.v28.i4.14702
Section
Case Reports