II. Definition

  1. Distal tibia spiral Fracture in ambulatory children under age 3 years

III. Epidemiology

  1. Most common Fracture in age 9 months to 3 years that present with a limp (29%)
  2. Not suspicious for abuse (contrast with other spiral Fractures)

IV. Presentation

  1. Typically child Running, falls, and is then non-ambulatory or with painful ambulation

V. Signs

  1. Tenderness to palpation over the tibia

VI. Imaging: Ankle XRay

  1. Spiral Fracture of distal tibia (best seen on oblique view)
    1. May be occult Fracture

VII. Management

  1. Long leg splint or cast is typical
  2. Some recommend below knee walking cast for 3 weeks

VIII. References

  1. Latessa (2012) AAFP Board Review Express, San Jose

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Ontology: Toddler fracture (C2862185)

Concepts Injury or Poisoning (T037)
ICD10 S82.24
English Toddler fracture