Toddler's fracture: Difference between revisions
(Created page with "==Background== *Isolated spiral fx of distal tibia in a toddler ==Diagnosis== ===Presentation=== *Child limping or refusing to bear wt *Usually pain with palpation and rotation ...") |
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*May need oblique view if strong suspicion but AP/lat are negative | *May need oblique view if strong suspicion but AP/lat are negative | ||
==Treatment== | |||
*Definite fracture | *Definite fracture | ||
**Immobilize in long leg splint | **Immobilize in long leg splint | ||
Revision as of 17:19, 12 April 2012
Background
- Isolated spiral fx of distal tibia in a toddler
Diagnosis
Presentation
- Child limping or refusing to bear wt
- Usually pain with palpation and rotation of distal tibia
- Swelling may be minimal or absent
=Imaging
- 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 xray
- Immobilize and f/u w/ bone scan or repeat xray in 1wk
Source
Tintinalli