A witnessed case of a classic metaphyseal fracture caused during IV line placement in a child: Insight into mechanism of injury.

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 Med

authors

Burrell T,Opfer E,Berglund L,Lowe LH,Anderst J

doi

10.1016/j.jflm.2015.07.005

subject

Has Abstract

pub_date

2015-10-01 00:00:00

pages

51-3

eissn

1752-928X

issn

1878-7487

pii

S1752-928X(15)00141-9

journal_volume

35

pub_type

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