Paediatric post-traumatic cortical defects of the distal radius.
Paediatric post-traumatic cortical defects, although rare, are predominately seen affecting the distal radius following a greenstick or torus fracture. We review the literature and present a further two cases supported by CT and MRI. Images from an acute greenstick fracture are also presented to help understand the pathogenesis. Defects are typically solitary on plain radiographs and are usually noticed late, proximal to the site of compression. They are non-expansile in an otherwise healthy child. CT and MRI may reveal smaller multiple subperiosteal defects. Typical defects require no further management other than reassurance and advice that they may occasionally cause discomfort but resolve with time.
Roach
Richard T
RT
Department of Orthopaedics, Princess Royal Hospital, Telford, Shropshire TF6 6TF, UK.
Cassar-Pullicino
Victor
V
Summers
Bruce N
BN
D002648:Child; D002669:Child Welfare; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D011884:Radius / Q000000981:diagnostic imaging / Q000293:injuries*; D011885:Radius Fractures / Q000175:diagnosis; D014057:Tomography, X-Ray Computed