Bilateral transphyseal fractures: Is there more than we can see?

Introduction: Claudication is a common complaint in children, and diagnosis of underlying etiologies is challenging. In toddlers, the most likely causes of gait alterations can be divided into five groups: inflammatory/infectious; neurologic; developmental/congenital; neoplastic; and post-traumatic. Case report: Here in is reported the case of a three-year-old boy with claudication diagnosed with bilateral proximal femoral transphyseal fractures by plain radiograph and magnetic resonance imaging. Conclusion: When a non-ambulatory child presents with femur fractures, clinical history should address specific questions to determine whether the explanation put forth can reasonably explain the injury. Prompt diagnosis is key for early treatment and prevention of potential complications.