• J Clin Ultrasound · May 2006

    Case Reports

    Sonographic diagnosis of toddler's fracture in the emergency department.

    • David Lewis and Peter Logan.
    • The Ipswich Hospital NHS Trust, Heath Road, Ipswich, Suffolk IP4 5PD, United Kingdom.
    • J Clin Ultrasound. 2006 May 1; 34 (4): 190-4.

    AbstractWe describe 3 cases of toddler's fracture of the tibia that were diagnosed via sonographic examination. In cases, initial radiographs did not show the fracture, whereas sonographic examination revealed a layer of low reflectivity superficial to the tibial cortex and an elevated periosteum, suggesting a fracture hematoma. The diagnosis was confirmed at 2-3 weeks with radiographs demonstrating periosteal reaction. Both fractures were treated with cast immobilization for 4 weeks and made a full recovery. The third case was diagnosed via sonography and was confirmed by the initial radiographs. These results strongly suggest that sonography can detect the presence of a fracture hematoma and thus may help diagnose this injury earlier.Copyright 2006 Wiley Periodicals, Inc.

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