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Brachialis periosteal avulsion injury: case report with magnetic resonance imaging findings

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Abstract

Brachialis periosteal avulsion injury is an uncommon injury occurring in young children. The injury may be misinterpreted or overlooked because of misleading or subtle radiological findings. A case of 7-year-old child with post-traumatic elbow pain and subtle findings on elbow radiography is presented. The injury was initially misinterpreted as an avulsion fracture of the medial epicondyle. Following radiological review, a diagnosis of brachialis periosteal avulsion injury was made. The radiographic and magnetic resonance imaging (MRI) findings of this injury are presented to stress the value of comparing the radiographic findings with previous imaging and to increase awareness of this uncommon injury.

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References

  1. Crosswell S, Mbah CA, Hussain A, Turner R. Brachialis muscle tendon insertion avulsion fracture in a 6-year-old child. BMJ Case Rep. 2014. doi:10.1136/bcr-2013-202420.

    PubMed  PubMed Central  Google Scholar 

  2. Sanal HT, Chen L, Negrao P, Haghighi P, Trudell DJ, Resnick DL. Distal attachment of the brachialis muscle: anatomic and MRI study in cadavers. AJR Am J Roentgenol. 2009;192(2):468–72. doi:10.2214/AJR.08.1150.

    Article  PubMed  Google Scholar 

  3. Regan W, Morrey B. Fractures of the coronoid process of the ulna. J Bone Joint Surg Am. 1989;71(9):1348–54. doi:10.1055/s-2008-1038166.

    CAS  PubMed  Google Scholar 

  4. Laor T, Chun GF, Dardzinski BJ, Bean JA, Witte DP. Posterior distal femoral and proximal tibial metaphyseal stripes at MR imaging in children and young adults. Radiology. 2002;224:669–74. doi:10.1148/radiol.2243011259.

    Article  PubMed  Google Scholar 

  5. Cage DJ, Abrams RA, Callahan JJ, Botte MJ. Soft tissue attachments of the Ulnar Coronoid process: an anatomic study with radiographic correlation. Clin Orthop Relat Res. 1995;320:154–8.

    PubMed  Google Scholar 

  6. Winblad JB, Escobedo E, Hunter JC. Brachialis muscle rupture and hematoma. Radiol Case Rep. 2008. doi:10.2484/rcr.v3i4.251.

    PubMed  Google Scholar 

  7. Van den Berghe GR, Queenan JF, Murphy DA. Isolated rupture of the brachialis. J Bone Joint Surg Am. 2001;83(7):1074–5.

    PubMed  Google Scholar 

  8. Nishida Y, Tsukushi S, Yamada Y, Hosono K, Ishiguro N. Brachialis muscle tear mimicking an intramuscular tumor: a report of two cases. J Hand Surg [Am]. 2007;32(8):1237–41. doi:10.1016/j.jhsa.2007.06.002.

    Article  Google Scholar 

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Authors and Affiliations

  1. Department of Imaging and Interventional Radiology, Prince of Wales Hospital, 30-32 Ngan Shing Street, Shatin, N.T, Hong Kong

    Justin Chak Yiu Lam, Ka Lok Ryan Lee & James F. Griffith

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  1. Justin Chak Yiu Lam
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  2. Ka Lok Ryan Lee
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  3. James F. Griffith
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Correspondence to Justin Chak Yiu Lam.

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Lam, J.C.Y., Lee, K.L.R. & Griffith, J.F. Brachialis periosteal avulsion injury: case report with magnetic resonance imaging findings. Skeletal Radiol 45, 1561–1564 (2016). https://doi.org/10.1007/s00256-016-2459-7

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  • DOI: https://doi.org/10.1007/s00256-016-2459-7

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