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01-01-2014 | Case Report

Late diagnosis of a McFarland fracture: imaging and treatment

Authors: Panagiotis D. Symeonidis, George Ath Konstantinidis, Panagiotis S. Dionellis, John Ousatzopoulos, Panagiotis G. Givisis

Published in: Skeletal Radiology | Issue 1/2014

Abstract

McFarland fractures represent a type of oblique medial malleolar fracture in children that can be challenging to diagnose and treat. A 14-year-old junior league soccer player with a Salter Harris type IV McFarland fracture presented late, as the initial routine two views radiological assessment failed to reveal a clear fracture line. The addition of a mortise ankle view led to the correct diagnosis and subsequent MRI findings guided nonsurgical treatment with an excellent outcome. The debate between obtaining two or three views in closed pediatric ankle injuries according to the so-called Ottawa rules and the usefulness of magnetic resonance imaging (MRI) in the decision making for the choice of treatment of McFarland fractures are discussed in this case report.

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Title: Late diagnosis of a McFarland fracture: imaging and treatment
Authors: Panagiotis D. Symeonidis
George Ath Konstantinidis
Panagiotis S. Dionellis
John Ousatzopoulos
Panagiotis G. Givisis
Publication date: 01-01-2014
Publisher: Springer Berlin Heidelberg
Published in: Skeletal Radiology / Issue 1/2014
Print ISSN: 0364-2348
Electronic ISSN: 1432-2161
DOI: https://doi.org/10.1007/s00256-013-1680-x

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Late diagnosis of a McFarland fracture: imaging and treatment

Abstract

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Abstract

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