Multiple Low Energy Long Bone Fractures in the Setting of Rothmund-Thomson Syndrome

Figure 9

Young adult male with history of Rothmund-Thomson syndrome diagnosed at 2 years of age. Findings: (a) increased cortical thickening of the lateral mid tibia diaphysis when compared to prior radiographs from 8 years earlier (arrow). A chronic appearing ununited lateral malleolus fracture is also present (circle). (b) An increase in anterior cortical thickening of the mid tibia diaphysis has also occurred with a subtle fracture line through the anterior tibial cortex at the site of cortical thickening (arrow). Technique: (a) AP radiograph kVp = 63, mAs = 3, and (b) lateral radiograph kVp = 63, mAs = 3.

(a)

(b)