Lower Limb Trauma
A 2-year-old boy is brought to the emergency department because he refuses to bear weight on his right leg since yesterday. His mother reports he was playing at a playground and may have tripped but there was no significant fall. He is afebrile and otherwise well. Examination shows a non-toxic child who refuses to stand on the right leg but moves it freely when lying down. There is minimal swelling and no obvious deformity. Radiographs show no obvious fracture. Regarding toddler's fractures:
Mark each as TRUE or FALSE
A toddler's fracture is an undisplaced spiral or oblique fracture of the distal tibial shaft occurri...
Initial radiographs may be negative in up to 40% of cases; an internal oblique view of the tibia may...
Toddler's fracture occurs in children aged 5-10 years; it is a transverse fracture of the proximal t...
Differential diagnosis includes: septic arthritis/osteomyelitis (fever, elevated inflammatory marker...
Treatment is symptomatic immobilization in a long leg cast or walking boot for 3-4 weeks; healing is...
Answer the questions to see explanations
Click T (True) or F (False) for each option