A 2-year-old girl presented at the outpatient center with a massive swelling of the left femur, which her family reported had grown rapidly during the preceding 3 weeks. Clinical examination revealed that the girl was of normal height and weight for her age and had no further skeletal abnormalities. Laboratory tests showed no anemia or impaired bone mineralization. Her medical history showed one previous fracture of the forearm 5 months ago and a mild trauma of the left femur 4 weeks ago, suspicious of a fissure.

A Radiograph was procured for left proximal femur (Image A). After reviewing the initial radiograph and making the clinical diagnosis, no further action was taken, until another fracture that occurred 2 years and 3 months later (Image B). *This case is from Docplexus editorial team for educative purpose only Source: The Lancet Stay connected, the answers will be posted in next…