MR医学影像文献Lam-2016-Brachialis periosteal avulsion injury.pdfVIP

Skeletal Radiol (2016) 45:1561– 1564 DOI 10.1007/s00256-016-2459-7 CASE REPORT Brachialis periosteal avulsion injury: case report with magnetic resonance imaging findings Justin Chak Yiu Lam 1 Ka Lok Ryan Lee 1 James F. Griffith 1 Received: 14 December 2015 /Revised: 31 July 2016 /Accepted: 8 August 2016 /Published online: 18 August 2016 # ISS 2016 Abstract Brachialis periosteal avulsion injury is an un- child [ 1]. The radiographic and computer tomography common injury occurring in young children. The injury (CT) findings were reported in this previous case [ 1]. may be misinterpreted or overlooked because of mislead- The magnetic resonance imaging findings, however, have ing or subtle radiological findings. A case of 7-year-old not been reported before. The imaging findings, and in child with post-traumatic elbow pain and subtle findings particular the MRI findings, of this unusual injury may on elbow radiography is presented. The injury was initial- go unnoticed or be misinterpreted if one is not aware of ly misinterpreted as an avulsion fracture of the medial its existence, and hence we report a case of brachialis epicondyle. Following radiological review, a diagnosis periosteal avulsion injury. of brachialis periosteal avulsion injury was made. The radiographic and magnetic resonance imaging (MRI) find- ings of this injury are presented to stress the value of Case report comparing the radiographic findings with previous imag- ing and to increase awareness of this uncommon injury. A 7-year-old boy slipped and fell while playing football, landing on his outstretched right hand. He presented to Keywords Brachialis periostea