26th February 2025

A 3-year-old child is being assessed in the paediatric emergency department, having presented with a tibial fracture.

A 3-year-old child is being assessed in the paediatric emergency department, having presented with a tibial fracture. The paediatric team are concerned as this child has had multiple low-trauma fractures in the past 2 years, and the parents cannot seem to explain why.

On examination, you note a bluish tinge to the sclera and an obviously swollen and bruised lower left leg. 

What is the most likely diagnosis?

Select the SINGLE most appropriate option from the list below. Select ONE option only.