Toddler's fracture: Difference between revisions
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*High suspicion despite negative x-ray | *High suspicion despite negative x-ray | ||
**Immobilize and f/u w/ bone scan or repeat x-ray in 1wk | **Immobilize and f/u w/ bone scan or repeat x-ray in 1wk | ||
==See Also== | |||
*[[Fractures (Main)]] | |||
==Source== | ==Source== | ||
Revision as of 00:35, 1 May 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
See Also
Source
Tintinalli