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The x-ray reveals a classic accidental fracture in a toddler, with non-displaced/ spiral pattern of the distal tibia. These are low-energy fractures. Mid-shaft fractures, on the other hand, deserve more suspicion for abuse.
Case presented by Nahum Kovalski, BSc, MDCM, Terem Emergency Medical Centers, Jerusalem, Israel.
[taq_review]
3-year-old boy suffering a blow to his leg
Nahum Kovalski, BSc, MDCM
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