Tibia fracture (peds): Difference between revisions

Latest revision as of 21:55, 26 June 2016

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-==Toddler's Fracture==
+==Types==
-===Background===
+{{Tibial fractures peds}}
-*Also known as childhood accidental spiral tibial fracture
-*Occurs in pts <5yr after twisting foot while planted on same leg
-===Clinical Features===
-*Inability to bear wt
-===Diagnosis===
+==Differential Diagnosis==
-*May only present as faint oblique line on AP view
+{{Distal leg fractures DDX}}
-===Management===
-*If strong clinical suspicion despite normal radiographs splint child above knee to foot
-==Tibial Spine Fracture==
-===Background===
-*Avulsion fx of tibial spine is equivalent to ACL rupture in adult
-===Management===
-*Nondisplaced
-**Managed conservatively w/ immobilization and ortho f/u
-*Displaced
-**Immediate ortho consult
-==Tibial Tuberosity Fracture==
-===Background===
-*Due to contraction of quadriceps against fixed leg
-*Type I
-**Fx through the small distal portion of the tibial tuberosity
-*Type II
-**Occur after coalescence of secondary ossification centers of tuberosity to the metaphysis
-*Type III
-**Splits epiphysis of the tuberosity from the epiphysis of the proximal tibia
-**At risk for compartment syndrome
-===Management===
-*Types I and II
-**Immobilization
-*Displaced type II and type III
-**Immediate ortho consult
 ==See Also==
 *[[Fractures (Main)]]
-==Source==
+==References==
-Tintinalli
+<references/>
-[[Category:Peds]]
+[[Category:Pediatrics]]
-[[Category:Ortho]]
+[[Category:Orthopedics]]