By John H. Juhl MD, Andrew B. Crummy MD, Janet E. Kuhlman MD
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The high signal is caused by a hematoma. The margins of the tendon are widened and contain irregular signal consistent with hemorrhage. FIG. 2-5. Occult fracture of the lateral condyle of the humerus in a 4-year-old girl. A: Anteroposterior view demonstrates no definite fracture. B: Repeat examination 8 days later demonstrates a linear, hairline fracture of the lateral condyle (arrow). This is classified as a Salter-Harris type IV epiphyseal injury. Radioisotope Bone Scanning Technetium-99m can be used in the assessment of skeletal trauma.
Note the endosteal erosion. B: Pathologic fracture through a phalangeal enchondroma. FIG. 2-13. A fracture of the left clavicle that occurred during birth. Examination at 2 weeks of age demonstrates a large amount of callus at the fracture site. FIG. 2-14. Stress fracture. A and B: Stress fracture of the second metatarsal, the march fracture. Note the minimal subperiosteal new-bone formation along the medial aspect of the shaft (A). Examination 1 month later shows a considerable increase in the size of the callus at the fracture site (B).
There is also a small insufficiency fracture in the anterior portion of the left sacral ala. 35 FIG. 2-56. Diagram of fractures of the proximal femur. A: The usual sites of fracture are 1, subcapital; 2, transcervical; 3, basicervical; 4, intertrochanteric; and 5, subtrochanteric. B: Impacted subcapital fracture. C: Displaced subcapital fracture. FIG. 2-57. Two fractures of the femoral neck. A: Impacted subcapital fracture. Note the characteristic distortion of the superolateral margin of the junction of the head and neck, with a vague zone of increased density caused by impaction along the course of the subcapital fracture.