- A toddler’s fracture is also known as a “Childhood Accidental Spiral Tibial (CAST)” fracture. They are the same thing. In a Toddler’s fracture:
- Fracture is not displaced.
- Spiral or oblique pattern.
- Involves distal half to distal third of the tibia.
- Fractures of the more proximal tibia may be suspicious for non-accidental trauma.
- Often as a result of minor mechanism, many times with a rotational component.
- Initial x-rays commonly do not show evidence of Toddler’s Fracture (13-43%).
- While there is no evidence in the literature to suggest that casting speeds healing, it does decrease the risk of displacement.
Wednesday, 20 July 2016
CAST FRACTURE
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