Toddler's fracture: Difference between revisions
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**Immobilize in long leg splint | **Immobilize in long leg splint | ||
**Ortho f/u next day for definitive casting | **Ortho f/u next day for definitive casting | ||
*High suspicion despite negative | *High suspicion despite negative x-ray | ||
**Immobilize and f/u w/ bone scan or repeat | **Immobilize and f/u w/ bone scan or repeat x-ray in 1wk | ||
==Source== | ==Source== | ||
Revision as of 17:21, 12 April 2012
Background
- Isolated spiral fx of distal tibia in a toddler
Clinical Features
- Child limping or refusing to bear wt
- 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
Source
Tintinalli