![]() ![]() In the event of a medical emergency, contact your physician or call 9-1-1 immediately. Relying on information provided in this website and podcast is done at your own risk. Do not disregard professional medical advice or delay seeking it based on information from this writing. Your physician or other qualified health care provider should be contacted with any questions you may have regarding a medical condition. Although the editors have made every effort to provide the most up-to-date evidence-based medical information, this writing should not necessarily be considered the standard of care and may not reflect individual practices in other geographic locations.įor the Public: This writing is not intended to be a substitute for professional medical advice, diagnosis, or treatment. LEGAL DISCLAIMER ( to make sure that we are all clear about this): The information on this website and podcasts are the opinions of the authors solely.įor Health Care Practitioners: This writing is provided only for medical education purposes. Important to remember that Compartment Syndrome in children may not present with the “5 Ps.”.Neurologic exam initially will help detect evolving compartment syndrome though!.Neurologic injury, initially, is uncommon.Performing a thorough vascular and neurologic exam are always important… but….Younger children with incomplete fractures (like Toddler’s Fracture) may simply refuse to bear weight fully.Tibial fractures in children presentations include: THIS IS WHY MOLDING OF THE CAST IS IMPORTANT.~60% of children without fibular fracture will develop varus deformity in the 1st 2 weeks.WithOUT fibular fracture – V arus Deforming forces (toward midline).With fibular fracture – Valgus Deforming forces (away from midline).Contractile force of the anterior and lateral compartments cause varus or valgus deforming forces based on the integrity of the fibula. The toddlers fracture, a non-displaced spiral fracture of the tibial shaft, is one of the most common lower extremity injuries in children ages 1-3 years old1.~ 30% of tibial fractures occur in association with fibular fracture.Sporting-related and Motor Vehicle Collisions.Older children / Adolescents have have mechanisms that involve greater forces.Leads to incomplete and spiral fracture patterns.Rotation of leg while foot is stationary.Younger children typically have Torsional Forces.40% of tibial fractures occur in the diaphysis (AKA the shaft).Femur and Radius/Ulna fractures are most common.3rd most common fracture seen in the patient with poly-trauma.3rd most common long bone injuries in children. Answer Toddler’s fracture, also called childhood accidental spiral tibial fracture or CAST fracture, is a fracture unique to ambulatory infants and young children.Tibial Shaft Fractures in Children: Basics Tibial Shaft Fractures are common. ![]()
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