Abstract:
:Recent publications argue that classic metaphyseal fractures are caused by rickets as opposed to trauma. Previous case reports of accidental traumatic classic metaphyseal fractures have been discounted due to lack of identification of the fracture at the time of the traumatic event, and lack of an evaluation for boney metabolic disorders. We report a case of a 20 day old male with a diagnosis of congenital vertical talus who sustained a classic metaphyseal fracture of the distal tibia during manipulation in preparation for intravenous line placement. The mechanics of the event causing the classic metaphyseal fracture were witnessed and accompanied by an audible "pop". Prior x-rays of the tibia demonstrate normal osseous morphology, and an evaluation for boney metabolic disorders was normal. This case identifies a traumatic classic metaphyseal fracture and provides insight into the types of forces necessary to cause such a fracture.
journal_name
J Forensic Leg Medjournal_title
Journal of forensic and legal medicineauthors
Burrell T,Opfer E,Berglund L,Lowe LH,Anderst Jdoi
10.1016/j.jflm.2015.07.005subject
Has Abstractpub_date
2015-10-01 00:00:00pages
51-3eissn
1752-928Xissn
1878-7487pii
S1752-928X(15)00141-9journal_volume
35pub_type
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journal_title:Journal of forensic and legal medicine
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journal_title:Journal of forensic and legal medicine
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journal_title:Journal of forensic and legal medicine
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