CAST FRACTURE

• 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.