Diferencia entre revisiones de «Toddler's fracture»
Sin resumen de edición |
Sin resumen de edición |
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| Línea 2: | Línea 2: | ||
*Isolated spiral fx of distal tibia in a toddler | *Isolated spiral fx of distal tibia in a toddler | ||
== | ==Clinical Features== | ||
*Child limping or refusing to bear wt | *Child limping or refusing to bear wt | ||
*Usually pain with palpation and rotation of distal tibia | *Usually pain with palpation and rotation of distal tibia | ||
*Swelling may be minimal or absent | *Swelling may be minimal or absent | ||
== | ==Diagnosis== | ||
*May need oblique view if strong suspicion but AP/lat are negative | *May need oblique view if strong suspicion but AP/lat are negative | ||
Revisión del 17:20 12 abr 2012
Background
- Isolated spiral fx of distal tibia in a toddler
Clinical Features
- Child limping or refusing to bear wt
- Usually pain with palpation and rotation of distal tibia
- Swelling may be minimal or absent
Diagnosis
- May need oblique view if strong suspicion but AP/lat are negative
Treatment
- Definite fracture
- Immobilize in long leg splint
- Ortho f/u next day for definitive casting
- High suspicion despite negative xray
- Immobilize and f/u w/ bone scan or repeat xray in 1wk
Source
Tintinalli