Tibia fracture (peds): Difference between revisions
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==Toddler's Fracture== | |||
===Background=== | |||
*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=== | |||
*May only present as faint oblique line on AP view | |||
===Management=== | |||
*If strong clinical suspicion despite normal radiographs splint child above knee to foot | |||
==Tibial Spine Fracture== | ==Tibial Spine Fracture== | ||
===Background=== | ===Background=== | ||
Revision as of 21:11, 13 February 2012
Toddler's Fracture
Background
- 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
- May only present as faint oblique line on AP view
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
Source
Tintinalli