Paediatric post-traumatic cortical defects of the distal radius

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Richard T Roach1, Victor Cassar-Pullicino, Bruce N Summers

  • 1Department of Orthopaedics, Princess Royal Hospital, Telford, Shropshire TF6 6TF, UK.

Pediatric Radiology
|April 17, 2002
PubMed

Insights

Paediatric post-traumatic cortical defects, rare bone lesions after fractures, typically resolve with time and require no intervention. Imaging like CT and MRI aids in diagnosis.

Area of Science:

  • Orthopaedic Surgery
  • Paediatric Radiology

Background:

  • Paediatric post-traumatic cortical defects are uncommon bone abnormalities.
  • They predominantly affect the distal radius after greenstick or torus fractures.

Observation:

  • Defects are often solitary on plain radiographs, appearing late and proximal to the fracture site.
  • CT and MRI can identify smaller, multiple subperiosteal defects.
  • These defects are non-expansile in healthy children.

Findings:

  • The pathogenesis can be understood through images of acute greenstick fractures.
  • Typical defects require only reassurance and advice regarding potential discomfort.

Implications:

  • These findings suggest conservative management for most paediatric post-traumatic cortical defects.
  • Understanding the imaging characteristics aids in accurate diagnosis and appropriate patient guidance.

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