Toddler's fracture: Difference between revisions
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==Clinical Features== | ==Clinical Features== | ||
* | *History of an otherwise healthy child, who was ambulating, falls and is then non-ambulatory or has painful ambulation. | ||
*Usually pain with palpation and rotation of distal tibia | *Usually pain with palpation and rotation of distal tibia | ||
*Swelling may be minimal or absent | *Swelling may be minimal or absent | ||
==Diagnosis== | ==Diagnosis== | ||
*May need oblique view if strong suspicion but AP/lat are negative | *May need oblique view if strong suspicion but AP/lat are negative | ||
Revision as of 08:56, 31 December 2013
Background
- Subset of childhood accidental spiral tibial (CAST) fractures, where it is a minimally displaced distal spiral tibial fracture typically encountered in ambulating toddlers (9 months - 3 years) due to low energy trauma with rotational component.
Clinical Features
- History of an otherwise healthy child, who was ambulating, falls and is then non-ambulatory or has painful ambulation.
- Usually pain with palpation and rotation of distal tibia
- Swelling may be minimal or absent
Diagnosis
- May need oblique view if strong suspicion but AP/lat are negative
Treatment
- Definite fracture
- Immobilize in long leg splint
- Ortho f/u next day for definitive casting
- High suspicion despite negative x-ray
- Immobilize and f/u w/ bone scan or repeat x-ray in 1wk
See Also
Source
Tintinalli