Tibia fracture (peds): Difference between revisions
m (Rossdonaldson1 moved page Tibia Fracture (Peds) to Tibia fracture (peds)) |
No edit summary |
||
| Line 1: | Line 1: | ||
==Toddler's | ==[[Toddler's fracture]]== | ||
===Background=== | ===Background=== | ||
*Also known as childhood accidental spiral tibial fracture | *Also known as childhood accidental spiral tibial fracture | ||
*Occurs in pts <5yr after twisting foot while planted on same leg | *Occurs in pts <5yr after twisting foot while planted on same leg | ||
===Clinical Features=== | ===Clinical Features=== | ||
*Inability to bear wt | *Inability to bear wt | ||
| Line 8: | Line 9: | ||
===Diagnosis=== | ===Diagnosis=== | ||
*May only present as faint oblique line on AP view | *May only present as faint oblique line on AP view | ||
===Differential Diagnosis=== | |||
{{Tibial fractures peds}} | |||
===Management=== | ===Management=== | ||
*If strong clinical suspicion despite normal radiographs splint child above knee to foot | *If strong clinical suspicion despite normal radiographs splint child above knee to foot | ||
==Tibial | ==[[Tibial spine fracture]]== | ||
===Background=== | ===Background=== | ||
*Avulsion fx of tibial spine is equivalent to ACL rupture in adult | *Avulsion fx of tibial spine is equivalent to ACL rupture in adult | ||
| Line 22: | Line 26: | ||
**Immediate ortho consult | **Immediate ortho consult | ||
==Tibial | ==[[Tibial tuberosity fracture]]== | ||
===Background=== | ===Background=== | ||
*Due to contraction of quadriceps against fixed leg | *Due to contraction of quadriceps against fixed leg | ||
| Line 40: | Line 44: | ||
==See Also== | ==See Also== | ||
*[[Tibia fracture (peds)]] | |||
*[[Fractures (Main)]] | *[[Fractures (Main)]] | ||
Revision as of 07:04, 10 January 2015
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
Pediatric Tibial Fractures
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
Source
Tintinalli