Distal radius and or ulna metaphyseal fractures ...

These fractures are potentially unstable and need to be managed in a well moulded cast. Figure 2: Six year old with complete metaphyseal fracture. On the lateral view, there is a minimally displaced radial metaphysis, which could be mistaken for a buckle fracture.

Biomechanical Investigation of the Classic Metaphyseal ...

Classic metaphyseal lesions, also referred to as corner or bucket-handle fractures, are fractures through the immature metaphyseal bone near the growth plate.

Acute Fractures and Dislocations of the Ankle and Foot in ...

These fractures are referred to as metaphyseal corner fractures, or classic metaphyseal lesions . Figure 3. Distal tibial metaphyseal fractures in a 25-day-old male newborn who presented with multiple sites of skin bruising and lethargy.

Classic metaphyseal lesion of distal tibia following ...

Classic metaphyseal lesions associated with childbirth are rare. We report a distal tibial metaphyseal fracture following a difficult breech delivery. Classic metaphyseal fractures are considered highly specific injuries associated with non-accidental trauma. This case depicts a classic metaphyseal lesion sustained during footling breech extraction in an urgent delivery. …

Proximal tibial fractures in children - UpToDate

Proximal tibial fractures are infrequent in children relative to diaphyseal and distal tibial fractures. In toddlers, metaphyseal corner or bucket handle fractures are highly associated with child abuse. ... Jumping on a trampoline with …

Classic Metaphyseal Lesions among Victims of Abuse ...

Classic metaphyseal lesions (CML) of the knee and the ankle in a six-week-old infant. Metaphyseal corner fractures of the proximal and distal right tibia (short arrows) have a different appearance, depending on the radiographic projection. Frontal view on the left, lateral view on the right. Thin periosteal thickening is also present (thin arrows).

Child Abuse Flashcards | Quizlet

metaphyseal corner fractures are usually the result of _____ bucket handle fracture. same mechanism as a corner-fracture just a different angle of imaging and sometimes a larger portion of the metaphysis is broken. blunt trauma. primary mechanism of injury to the abdomen <2.

Non-Accidental Trauma (NAT) in Pediatric Patients

Fractures Commonly seen in NAT -High Specificity • Femur fracture in child < 1 year old (any pattern) • Humeral shaft fracture in < 3 year old • Sternal fractures • Metaphyseal corner (bucket-handle) fractures • Posterior rib fx's • Digit fractures in nonambulatory children

A Critical Review of the Classic Metaphyseal Lesion ...

Because the proposed fracture plane of the classic metaphyseal lesion is parallel to the chondroosseous junction, the applied forces are likely in the same direction as the displacement. This implies that a distraction force from the epiphyseal side of the growth plate had been applied to the end of the long bone.

Proximal Tibial Fractures - Don't Forget the Bubbles

Metaphyseal corner fractures, or bucket handle fractures occur in children less than two years old. In a previously well infant with normal bones this fracture is almost pathognomonic for non-accidental injury (NAI). These fractures are Salter Harris II fractures of the long bones and are most frequently seen in the proximal or distal tibia, distal femur or …

Abuse as a Cause of Childhood Fractures

Metaphyseal corner fractures. The injuries known in the English-language literature as classic metaphyseal lesions (CML) or metaphyseal corner fractures are also known as bucket handle fractures . Because the fracture gap runs parallel to the x ray path, it is often only the peripheral parts of the fracture, which extend towards the diaphysis ...

The Radiology Assistant : Child abuse - Diagnostic Imaging 2.0

The metaphyseal corner fracture, also dubbed by Kleinman as the classic metaphyseal lesion, was first described by Caffey who noted these peculiar fractures in children with subdural hematomas. They are often bilateral and in …

Musculoskeletal - Stanford University

Open fractures a. Mechanism b. Classification c. Implications for treatment 4. Gunshot wounds 5. Stress injuries a. Mechanisms b. ... Metaphyseal corner fracture D. Fracture healing 1. Pathophysiology 2. Biomechanics 3. Time course 4. Treatment a. Casting b. Hardware 5. Complications a. ...

Distal femoral fractures in children - UpToDate

Metaphyseal fractures — Transverse distal metaphyseal fractures (also called supracondylar femoral fractures) are the most common type of distal femur fracture in infants and young children ( image 1) [ 1 ]. Physeal fractures — Distal physeal femur fractures occur more commonly in older children and adolescents.

Recurrent c.G1636A (p.G546S) mutation of COL2A1 in a ...

causative amino acid substitution (glycine to serine) associated with the "dappling" and "corner fracture" metaphyseal abnormalities, and may provide a useful reference for evaluating the phenotypic spectrum and variability of type II collagenopathies. Keywords: c.G1636A, p.G546S, COL2A1, Dappling, Corner fracture

Problems in the diagnosis of metaphyseal fractures

Objective: To use legal statements by perpetrators to gain new insights into the causative mechanism of classic metaphyseal lesion (CML). The …

Must Not Miss Pediatric Fractures - CanadiEM

Metaphyseal corner fracture (Bucket handle fractures) 2,7: Mechanism: Shaking/shear forces; Suggests non-accidental injury Clinical features: – Age <2 – Typically asymptomatic – Accumulation of multiple microfractures in immature bone across the metaphysis with an orientation perpendicular to the long axis of the bone.

Fractures of the Distal Femoral Physis | Musculoskeletal Key

Pathologic Fractures. Underlying conditions such as neuromuscular disorders, joint contractures, or nutritional deficiencies may predispose some children, regardless of age, for separation of the distal femoral epiphysis. 3–5,51,63 Like other pathologic fractures, distal femoral physeal separations that occur in children with underlying conditions typically result …

"toddlers" fracture: the importance of a complete clinical ...

Spiral fractures accounted for 34%. 80% presented within 24 h, 9% after 48 h. 5/83 were diagnosed NAI: 3 buckle type fractures and 2 metaphyseal "corner" fractures. Lack of injury mechanism, age <18 months, non-walkers and unmarried/single parents were associated with an increased risk of NAI (p<0.005).

Non-accidental Trauma | Radiology Key

The terms "corner fracture" and "bucket handle fracture" describe fractures at the metaphyses of the long bones that are highly specific for non-accidental trauma, since nonambulatory children cannot inflict this type of injury on themselves (Box 18.2). The fractures result from tractional and torsional force applied to an extremity and ...

Metaphyseal corner fracture caused in utero by external ...

This case is presented of a MCF of the distal femur caused in utero by external cephalic version (ECV), and it is critical for this mechanism to be understood to prevent an erroneous diagnosis of child abuse. Abstract Metaphyseal corner fractures (MCFs) in infants are strongly associated with inflicted injuries. These fractures occur due to shearing forces …

Pediatric Physeal Injuries Overview Article

Mechanism of injury should be obtained from the history to determine the level of trauma to the extremity. The skin should be assessed for any evidence of open fracture - especially looking for subtle signs such as poke holes or impending open fractures with skin tenting. ... metaphyseal corner fractures, various states of healing of fractures ...

Orthopedic manifestations of child abuse | Pediatric Research

Rib fractures and metaphyseal corner injuries of long bones are often not clinically obvious, particularly in infants, with observable indications like bruising not commonly present. 2,20 A 2011 ...

Metaphyseal corner fracture (child abuse) | Radiology Case ...

Case Discussion. Appearances are consistent with a metaphyseal corner fracture.. In this age group, a metaphyseal injury is not in keeping with accidental trauma. A metaphyseal corner fracture is highly specific for non-accidental injury in a non-ambulant infant. A notable exception is obstetric trauma during difficult delivery.

The metaphyseal lesion in abused infants: a radiologic ...

This fracture results in the isolation of a mineralized disc or portion of a disc that is identifiable radiographically. Depending upon the size of the injury, the degree of involvement of the periphery of the bone, and the radiographic projection, a bucket-handle lesion, corner fracture, or metaphyseal lucency will result.

Radiology In Ped Emerg Med, Vol 4, Case 2

Bucket Handle and Corner Fractures Radiology Cases in Pediatric Emergency Medicine Volume 4, Case 2 ... Epiphyseal-Metaphyseal Fractures Injuries at the epiphyseal-metaphyseal junction are highly suggestive of abuse. ... A spiral or oblique fracture is produced by a twisting mechanism, while a transverse fracture is caused by a direct blow.

Evidence Base for Child Abuse Fractures

Classic Metaphyseal Lesion •Planar fracture through primary spongiosa of the metaphysis (6) •Corner or bucket handle appearance •Most common in distal femur, proximal and distal tibia, and proximal humeri •Acute fractures difficult to visualize and commonly heal without new subperiosteal bone formation or sclerosis (7)

Evaluating Children With Fractures for Child Physical ...

Fractures are common injuries caused by child abuse. Although the consequences of failing to diagnose an abusive injury in a child can be grave, incorrectly diagnosing child abuse in a child whose fractures have another etiology can be distressing for a family. The aim of this report is to review recent advances in the understanding of fracture …