Toddler's fracture
Revision as of 08:55, 31 December 2013 by ManpreetS2006 (talk | contribs) (change in background info)
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
- 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