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