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  • Title: Dramatic subperiosteal bone formation following physeal injury in patients with myelomeningocele.
    Author: Khoury JG, Morcuende JA.
    Journal: Iowa Orthop J; 2002; 22():94-8. PubMed ID: 12180621.
    Abstract:
    We present five cases of dramatic subperiosteal bone formation following fracture of the distal femoral physis in children with myelomeningocele. These fractures often go unrecognized due to lack of displacement and/or pain. Children present with a swollen, warm extremity and often systemic signs of inflammation, but rarely any pain or history of trauma. The dramatic radiographic appearance can cause a diagnostic dilemma. We present these cases in order to familiarize the clinician with the oftentimes dramatic appearance of this injury.
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