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Limb length discrepancy after intraosseous line placement

"We will present the case of a 6-year-old girl who presented with a 3-cm limb length discrepancy after intraosseous line placement at age 14 months without other known history of trauma or infection to account for the growth arrest" Kleinsmith and Kowalski (2024).

"We will present the case of a 6-year-old girl who presented with a 3-cm limb length discrepancy after intraosseous line placement at age 14 months without other known history of trauma or infection to account for the growth arrest" Kleinsmith and Kowalski (2024).

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Limb length discrepancy after intraosseous line placement

Abstract:

Case: We will present the case of a 6-year-old girl who presented with a 3-cm limb length discrepancy after intraosseous line placement at age 14 months without other known history of trauma or infection to account for the growth arrest. Imaging revealed a left proximal tibial physeal bar amenable to surgical resection with autologous lipotransfer. At 10 months postoperatively, physical examination and imaging demonstrated a stable 3-cm leg length discrepancy with an interval increase in the length of the left tibia in proportion to the growth of the right side with an increase in valgus alignment that will continue to be monitored and addressed as indicated.

Conclusion: Pediatric intraosseous line placement presents unique challenges and can ultimately lead to physeal injury and growth arrest in the case of malpositioning.


Reference:

Kleinsmith RM, Kowalski H. Limb Length Discrepancy After Intraosseous Line Malpositioning: A Case Report. JBJS Case Connect. 2024 Mar 14;14(1). doi: 10.2106/JBJS.CC.23.00619. PMID: 38484087.

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