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

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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.

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Authors and Affiliations

  1. Department of Radiology, University of Massachusetts Memorial Medical Center, University of Massachusetts Medical School, Worcester, MA, USA

    Subha Raman & E. Christine Wallace

  2. Division of Pediatric Radiology, UMass Memorial Medical Center, University Campus, 55 Lake Avenue North, Worcester, MA, 01655, USA

    E. Christine Wallace

Authors
  1. Subha Raman
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  2. E. Christine Wallace
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Correspondence to E. Christine Wallace.

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Raman, S., Wallace, E.C. MRI diagnosis of trapped periosteum following incomplete closed reduction of distal tibial Salter-Harris II fracture. Pediatr Radiol 41, 1591–1594 (2011). https://doi.org/10.1007/s00247-011-2062-y

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  • DOI: https://doi.org/10.1007/s00247-011-2062-y

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