II. Definition
- Toddler Fracture
- Distal tibia spiral Fracture in ambulatory children under age 3 years
III. Epidemiology
IV. Presentation
V. Signs
- Provocative maneuvers
- Tenderness to palpation over the mid to distal tibia
- Passive dorsiflexion of ipsilateral foot
- Tibia twisting by rotating foot while holding knee stable
VI. Differential Diagnosis
- See Pediatric Limp
VII. Imaging: Ankle XRay
VIII. Management
- Typical management
- Posterior long leg splint for 5-7 days, THEN
- Long leg cast
- Some recommend below knee walking cast for 3 weeks
IX. References
- (2018) Crit Dec Emerg Med 37(5): 3-14
- Latessa (2012) AAFP Board Review Express, San Jose