title: Late diagnosis of a McFarland fracture: imaging and treatment.
abstract: McFarland fractures represent a type of oblique medial malleolar fracture in children that can be challenging to diagnose and treat. A 14-year-old junior league soccer player with a Salter Harris type IV McFarland fracture presented late, as the initial routine two views radiological assessment failed to reveal a clear fracture line. The addition of a mortise ankle view led to the correct diagnosis and subsequent MRI findings guided nonsurgical treatment with an excellent outcome. The debate between obtaining two or three views in closed pediatric ankle injuries according to the so-called Ottawa rules and the usefulness of magnetic resonance imaging (MRI) in the decision making for the choice of treatment of McFarland fractures are discussed in this case report.
authors.affiliation: Aristotelian University of Thessaloniki, E. Aminis 18, Thessaloniki, Greece, 54621.
authors.forename: Panagiotis D
authors.initials: PD
authors.lastname: Symeonidis
authors.forename: George Ath
authors.initials: GA
authors.lastname: Konstantinidis
authors.forename: Panagiotis S
authors.initials: PS
authors.lastname: Dionellis
authors.forename: John
authors.initials: J
authors.lastname: Ousantzopoulos
authors.forename: John
authors.initials: J
authors.lastname: Ousatzopoulos
authors.forename: Panagiotis K
authors.initials: PK
authors.lastname: Givissis
authors.forename: Panagiotis G
authors.initials: PG
authors.lastname: Givisis
mesh_terms: D000293:Adolescent; D064386:Ankle Fractures; D057210:Delayed Diagnosis; D006801:Humans; D007089:Image Enhancement / Q000379:methods*; D008279:Magnetic Resonance Imaging / Q000379:methods*; D008297:Male; D056888:Patient Positioning / Q000379:methods*; D012916:Soccer / Q000293:injuries*