UMEM Educational Pearls

Category: Orthopedics

Title: Pediatric trauma

Posted: 11/12/2016 by Brian Corwell, MD (Emailed: 11/13/2016)
Click here to contact Brian Corwell, MD

Question

https://images.radiopaedia.org/images/3173801/1ee24da1a6fe907a27d2bf20481174.jpg

 

Young toddler presents with left lower leg pain. What is the diagnosis??

Answer

 

Metaphyseal Corner Fracture. 

 

These are often very subtle findings! This fracture pattern was first seen in association with children with subdural hematomas.

https://images.radiopaedia.org/images/3173808/48ab0d13eb24f10de978b5c65af064_jumbo.jpg

It occurs due to shearing forces on the growth plate.

Most frequently seen in the distal femur, proximal humerus and tibia.

Can be bilateral.

Similar to bucket handle fracutres