An AP radiograph shows slight apex lateral bowing of the distal ulnar diaphysis. There is a thin fracture line (arrow) along the convex side of the bowed segment. The fracture has a steep oblique configuration peripherally and turns longitudinally in the central aspect. The cortex along the concave aspect is intact.
2. Torus fracture of the radius
Torus fracture of the radius.
A. A lateral radiograph obtained of a child with wrist pain following a fall on an outstretched arm demonstrates dorsal cortical buckling of the distal portion of the radius (arrow). The anterior cortical margin is intact. B. There is only minimal cortical irregularity on the AP view (arrow). A radiolucent fracture line is lacking.
A lateral projection radiograph shows cortical buckling in the distal femoral diaphysis of a 12-month-old child. A radiolucent fracture line extends deep to the cortical injury. The anterior cortex is intact.
Lead pipe fracture.
A lateral wrist radiograph of a 15-month-old child shows an incomplete distal radial fracture (arrow), with cortical buckling dorsally and cortical disruption anteriorly. There is also a subtle dorsal cortical buckle fracture of the ulnar metaphysis.
5. Plastic deformation injury
Plastic deformation injury.
A. An AP view of a toddler a few hours after a fall shows medial bowing of the fibula but no visible fracture line. B. Seven days later, periosteal new bone is present along the bowed portion of the diaphysis (arrows).
This 2-year-old child presented with a limp following a fall. Initial radiographs (not shown) were normal. A, B. Lateral (A) and plantar (B) bone scintigraphy images show markedly increased uptake in the cuboid bone (arrows). C. An oblique radiograph obtained 1 week later shows increased density along the proximal aspect of the cuboid (arrow), due to compressed trabeculae and reactive new bone formation.
Tibial diaphyseal fractures in 3 young children. A. There is a classic spiral fracture (...
Log In to View More
If you don't have a subscription, please view our individual subscription options below to find out how you can gain access to this content.
Want remote access to your institution's subscription?
Sign in to your MyAccess profile while you are actively authenticated on this site via your institution (you will be able to verify this by looking at the top right corner of the screen - if you see your institution's name, you are authenticated). Once logged in to your MyAccess profile, you will be able to access your institution's subscription for 90 days from any location. You must be logged in while authenticated at least once every 90 days to maintain this remote access.
If your institution subscribes to this resource, and you don't have a MyAccess profile, please contact your library's reference desk for information on how to gain access to this resource from off-campus.
AccessPediatrics Full Site: One-Year Subscription
Connect to the full suite of AccessPediatrics content and resources including 20+ textbooks such as Rudolph’s Pediatrics and The Pediatric Practice series, high-quality procedural videos, images, and animations, interactive board review, an integrated pediatric drug database, and more.
Pay Per View: Timed Access to all of AccessPediatrics
24 Hour Subscription $34.95
48 Hour Subscription $54.95
Pop-up div Successfully Displayed
This div only appears when the trigger link is hovered over.
Otherwise it is hidden from view.