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| ==Toddler's Fracture== | | ==Types== |
| ===Background===
| | {{Tibial fractures peds}} |
| *Also known as childhood accidental spiral tibial fracture
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| *Occurs in pts <5yr after twisting foot while planted on same leg
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| ===Clinical Features===
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| *Inability to bear wt
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| ===Diagnosis=== | | ==Differential Diagnosis== |
| *May only present as faint oblique line on AP view
| | {{Distal leg fractures DDX}} |
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| ===Management=== | | ==See Also== |
| *If strong clinical suspicion despite normal radiographs splint child above knee to foot | | *[[Fractures (Main)]] |
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| ==Tibial Spine Fracture== | | ==References== |
| ===Background===
| | <references/> |
| *Avulsion fx of tibial spine is equivalent to ACL rupture in adult
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| ===Management===
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| *Nondisplaced
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| **Managed conservatively w/ immobilization and ortho f/u
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| *Displaced
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| **Immediate ortho consult
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| ==Tibial Tuberosity Fracture==
| | [[Category:Pediatrics]] |
| ===Background===
| | [[Category:Orthopedics]] |
| *Due to contraction of quadriceps against fixed leg
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| *Type I
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| **Fx through the small distal portion of the tibial tuberosity
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| *Type II
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| **Occur after coalescence of secondary ossification centers of tuberosity to the metaphysis
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| *Type III
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| **Splits epiphysis of the tuberosity from the epiphysis of the proximal tibia
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| **At risk for compartment syndrome
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| ===Management===
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| *Types I and II
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| **Immobilization
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| *Displaced type II and type III
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| **Immediate ortho consult
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| ==Source==
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| Tintinalli
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| [[Category:Peds]] | |
| [[Category:Ortho]] | |
