Wednesday, 20 July 2016

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.
  • 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.

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