Teenager who cannot move their left shoulder after being pushed into a metal beam

Radiograph of anterior shoulder dislocation with Hills-Sachs lesion
AP (upper left) and axillary (above right) radiographs of the left shoulder show the left humeral head to be displaced anteriorly and medially in relation to the glenoid fossa. Post-reduction AP radiograph of the left shoulder (below) shows a defect in the posterolateral aspect of the humeral head.

The diagnosis was an anterior shoulder dislocation with a Hills-Sachs lesion post reduction.

School ager with ankle pain after a fall

Radiograph and CT of triplane fracture
AP (left upper) and lateral (right upper) radiographs of the ankle show a sagittal fracture through the tibial epiphysis, an axial fracture through the physis, and a coronal fracture through the tibial metaphysis. This is better demonstrated on the coronal (lower left) and sagittal (lower right) CT 2D reconstructions without contrast of the ankle.

The diagnosis was a triplane fracture (Salter-Harris Type III fracture).

Infant with swollen right leg

Radiograph of femur fracture in child abuse
AP radiograph of the right femur shows a lucency through the diaphysis of the right femur with no associated periosteal reaction. CXR AP shows callus formation around the right 7th and 9th ribs laterally, the right 7th-9th ribs posteriorly, the left 3rd-7th ribs laterally and the left 8th rib posteriorly.

The diagnosis was an acute displaced fracture of the right femur and chronic rib fractures of the right 7th and 9th ribs laterally, the right 7th-9th ribs posteriorly, the left 3rd-7th ribs laterally and the left 8th rib posteriorly in a child abuse patient.

Infant who has been shaken

Radiograph of classic metaphyseal lesion / bucket handle fracture / corner fracture of the tibia in child abuse
AP radiograph of the right tibia and fibula (left) shows a faint bucket handle irregularity of the distal tibial metaphysis. Lateral radiograph of the right tibia and fibula (right) shows anterior and posterior corner irregularities of the distal tibia metaphysis.

The diagnosis was a classic metaphyseal lesion (bucket handle fracture / corner fracture) of the distal right tibia in a child abuse patient.

Infant with leg pain

Radiograph of classic metaphyseal lesion / bucket handle fracture of the femur and tibia in child abuse
AP radiograph of the lower extremities shows bucket handle irregularities of the metaphyses of the bilateral distal femurs and bilateral proximal tibiae. There is also periosteal reaction of the distal left femur and bilateral tibiae.

The diagnosis was classic metaphyseal lesions (bucket handle fractures) of the bilateral distal femurs and bilateral proximal tibiae in a child abuse patient.