Epiphyseal Cleft: A Misleading Radiologic Finding

A 2-year-old boy was referred to the emergency department because of temporary limping after falling from a wall ( ∼80 cm). At admission, his physical examination was unremarkable; neither abnormal gait, pain, nor joint limitation in passive and active range of motion were observed. Due to the high-energy trauma, he underwent plain radiography, which showed a small, bipartite, and irregular epiphyseal nucleus of the right femoral head (Figure 1, A). Computed tomography and magnetic resonance imaging (MRI) were performed (Figure 1, B and C).

Source: The Journal of Pediatrics - July 24, 2020 Category: Pediatrics Authors: Matteo Trevisan, Pierandrea Elefante, Elisabetta Cattaruzzi, Marco Rozzo, Marco Carbone, Egidio Barbi, Andrea Magnolato Tags: Insights and Images Source Type: research