Toddler's fracture

Revision as of 04:38, 27 June 2011 by Jswartz (talk | contribs) (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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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

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