Tibia fracture (peds): Difference between revisions

Revision as of 07:11, 10 January 2015

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

Tintinalli

Authors:

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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
-===Differential Diagnosis===
-{{Tibial fractures peds}}
-===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
-===Differential Diagnosis===
-{{Tibial fractures peds}}
-===Management===
-*Nondisplaced
-**Managed conservatively w/ immobilization and ortho f/u
-*Displaced
-**Immediate ortho consult
 ==[[Tibial tuberosity fracture]]==