Diferencia entre revisiones de «Tibia fracture (peds)»

m (Rossdonaldson1 moved page Tibia Fracture (Peds) to Tibia fracture (peds))
(Text replacement - "*Tintinalli" to "")
 
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==Toddler's Fracture==
==Types==
===Background===
{{Tibial fractures peds}}
*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===
==Differential Diagnosis==
*May only present as faint oblique line on AP view
{{Distal leg fractures DDX}}
 
===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==
==See Also==
*[[Fractures (Main)]]
*[[Fractures (Main)]]


==Source==
==References==
Tintinalli
<references/>
 


[[Category:Peds]]
[[Category:Pediatrics]]
[[Category:Ortho]]
[[Category:Orthopedics]]

Revisión actual - 21:55 26 jun 2016