Femur fracture (peds)

This page is for pediatric patients. For adult patients, see: femur fracture

Background

  • Bimodal distribution
    • Toddlers: Most common mechanism is falls
    • Adolescents: High energy trauma such as MVA or Auto vs Ped
  • Maintain high suspicion for child abuse (second most common child abuse-related fracture after humerus)

Clinical Features

  • History of trauma
  • Pain, point tenderness, deformity
  • Inability to walk/bear weight

Differential Diagnosis

Femur Fracture Types

Anterior view.
Posterior view.

Proximal

Shaft

Pediatric hip pain

Evaluation

  • Assess for distal pulse, motor, and sensation
  • Inspect skin for signs of open fracture
  • X-ray femur

Management

  • Ortho consult in ED
    • In general, femur fractures in children >6mo require surgical repair

Disposition

  • Admit

See Also

External Links

References