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Pediatric Radiology

, Volume 41, Issue 12, pp 1591–1594 | Cite as

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

  • Subha Raman
  • E. Christine WallaceEmail author
Case Report

Abstract

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.

Keywords

Distal tibial physeal injury Periosteal interposition Trapped periosteum Irreducible physeal fracture 

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Copyright information

© Springer-Verlag 2011

Authors and Affiliations

  1. 1.Department of RadiologyUniversity of Massachusetts Memorial Medical Center, University of Massachusetts Medical SchoolWorcesterUSA
  2. 2.Division of Pediatric RadiologyUMass Memorial Medical CenterWorcesterUSA

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