MRI diagnosis of trapped periosteum following incomplete closed reduction of distal tibial Salter-Harris II fracture

Irreducible fracture of the distal tibial physis due to interposed soft tissue including periosteum is well documented in the orthopedic literature but is uncommon. This condition has been associated with subsequent growth disturbance and requires open reduction. There are very few prior reports of...

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Bibliographic Details
Published in:Pediatric radiology 2011-12, Vol.41 (12), p.1591-1594
Main Authors: Raman, Subha, Wallace, E. Christine
Format: Article
Language:English
Subjects:
Adolescent
Case Report
Fracture Fixation, Internal
Fractures, Malunited - complications
Fractures, Malunited - pathology
Humans
Imaging
Magnetic Resonance Imaging
Male
Medicine
Medicine & Public Health
Neuroradiology
Nuclear Medicine
Oncology
Pediatrics
Periosteum - injuries
Periosteum - pathology
Radiology
Tibial Fractures - complications
Tibial Fractures - pathology
Tibial Fractures - surgery
Treatment Outcome
Ultrasound
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Summary:Irreducible fracture of the distal tibial physis due to interposed soft tissue including periosteum is well documented in the orthopedic literature but is uncommon. This condition has been associated with subsequent growth disturbance and requires open reduction. There are very few prior reports of MRI depiction of soft tissue interposition and none of periosteal interposition in the distal tibial physis. This is a relatively common location of physeal injury and related growth disturbance. We present a case of periosteum trapped in the distal tibial physis, diagnosed on MRI, in a Salter-Harris II fracture and its management implications.
ISSN:0301-0449
1432-1998
DOI:10.1007/s00247-011-2062-y