Bilateral transphyseal fractures: Is there more than we can see?
DOI:
https://doi.org/10.25753/BirthGrowthMJ.v28.i4.14702Keywords:
claudication, magnetic resonance, non-acidental trauma, radiographyAbstract
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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References
Santili C, Júnior WL, Goiano Ede O, Lins RA, Waisberg G, Braga Sdos R, Akkari M. (2009) LIMPING IN CHILDREN. RevBras Ortop. 2015 Dec 8;44(4):290-8. doi: 10.1016/S2255-4971(15)30156-7
Bimmel R, Bakker A, Bosma B, Michielsen J. (2010) Paediatric hip fractures: a systematic review of incidence, treatment options and complications. Acta OrthopBelg. 2010 Feb;76(1):7-13.
Hajdu S, Oberleitner G, Schwendenwein E, Ringl H, Vécsei V. (2011) Fractures of the head and neck of the femur in children: an outcome study. IntOrthop. 2011 Jun;35(6):883-8. doi: 10.1007/s00264-010-1039-z.
Flynn JM, Wong KL, Yeh GL, Meyer JS, Davidson RS. (2002) Displaced fractures of the hip in children. Management by early operation and immobilisation in a hip spica cast. J Bone Joint Surg Br. 2002 Jan;84(1):108-12.
Scott B, Taylor B, Shung JR, Nimityongskul P. (2017) Bilateral femoral neck fractures associated with complex pelvic ring injuries in a pediatric patient: a case report. J PediatrOrthop B. 2017 Jul;26(4):350-357. doi: 10.1097/BPB.0000000000000375.
Vuillermin C., Bixby S.D. (2016) Radiologic Evaluation of Femur Fractures. In: Hedequist D., Heyworth B. (eds) Pediatric Femur Fractures. Springer, Boston, MA https://doi.org/10.1007/978-1-4899-7986-5_2
Brown MJ1, Ferrick MR. (2016) Transphyseal Femoral Neck Fracture in a Twenty-Month Old Male Child. Open Orthop J. 2016 Mar 31;10:56-61. doi: 10.2174/1874325001610010056.
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