Skip Navigation LinksHome > May/June 2012 - Volume 36 - Issue 3 > Occult Distal Femoral Physeal Injury With Disruption of the...
Journal of Computer Assisted Tomography:
doi: 10.1097/RCT.0b013e31825039a6
Pediatric Imaging

Occult Distal Femoral Physeal Injury With Disruption of the Perichondrium

Chauvin, Nancy MD; Jaramillo, Diego MD, MPH

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Abstract: The authors describe a case of distal femoral physeal injury with disruption of the perichondrium in a 9-year-old girl after a sledding accident. The patient presented with knee pain, limited range of motion, and inability to bear weight. Initial radiographs were normal. A magnetic resonance imaging of the knee demonstrated abnormal signal and widening of the distal femoral physis with elevation of the posterior distal femoral periosteum. This case illustrates the main magnetic resonance imaging findings in an occult Salter Harris type I injury: increased physeal thickness and signal intensity on water-sensitive sequences, perichondrial disruption, and intracartilaginous fracture.

© 2012 Lippincott Williams & Wilkins, Inc.



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