Synopsis of the patient: A six year old boy presented for cosmetic surgery to his nose, which had been fractured some months previously. The trauma had resulted in some deviation of the nasal septum and ugly scarring on the bridge of his nose. Mother explained that he was accident prone and very emotionally labile. Significantly he had developed a compartment syndrome following a tibial fracture at 4 years of age. The fracture went unnoticed initially because he continued to run around unperturbed. His mother was somewhat aggressive and distrustful of the medical fraternity as she had been suspected of child abuse in the past.