Toddler's fracture
Is it non-accidental injury?????? → how mobile is the child usually
| Non-displaced spiral fracture of the distal 2/3 of tibia + intact fibula | |
|---|---|
| Mechanism | |
| Patient demographic | Age: 9m - 3y |
| Clinical presentation | Trivial trauma, +/- twisting motion Non-weight bearing |
| Anatomy | |
| Diagnostic investigations | X-ray tibia/fibula → non-displaced spiral fracture of tibia - oblique view especially uesful - serial x-rays? |
| Management | Long leg back slab HOWEVER Schuh et al. found that children not immobilised walked much earlier (4 days) than those immobilised in a controlled ankle movement (CAM) boot or splint (27 days!!!) |