Search

Can you perform a robust histopathological diagnosis for this unusual case? 
http://ow.ly/40GB30mc5Th., Competing Interests: Conflict of interest: H. Bode has nothing to disclose. Conflict of interest: R. Sciot has nothing to disclose. Conflict of interest: E. Werbrouck has nothing to disclose. Conflict of interest: E. Geusens has nothing to disclose. Conflict of interest: C.M. Deroose reports consultancy fees from Bayer, Sirtex, Novartis Pharma and Advanced Accelerator Applications (AAA), and advisory board fees from Ipsen, Novartis Pharma and Terumo, all outside the submitted work. Conflict of interest: K. Nackaerts has nothing to disclose.

We present three cases of fracture of the proximal tibia in young children who were jumping on a trampoline. The typical radiological findings and the underlying mechanism of trauma are discussed. The key radiological features are: a transverse hairline fracture of the upper tibia often accompanied by a buckle fracture of the lateral or medial tibial cortex, buckling of the anterior upper tibial cortex and anterior tilting of the epiphyseal plate. New types of injuries related to specific recreational activities are recognized. It is often helpful to associate a typical injury with a particular activity. Trampoline related injuries have increased dramatically over the last years. The most common lesions are fractures and ligamentous injuries, in particular a transverse fracture of the proximal tibia. However the radiological findings can be very subtle and easily overlooked. It is therefore important to be aware of the typical history and radiological findings.