![]() The authors present evidence that supports a predominantly accidental etiology for isolated spiral tibial fractures of young children. Physical examination often allows localization of the fracture and should identify the. ![]() The diagnosis should be suspected in all children with a limp or refusal to bear weight. Young children and toddlers are at risk for tibial shaft fractures, even when the force of injury is low. ![]() As such they should not raise the alarm when present in isolation and the correct age group (i.e. ambulating toddlers). Isolated spiral tibial fractures of childhood have previously been recognized by the orthopedic specialty to most frequently be accidental in etiology. Tibial fractures are a common pediatric fracture. Toddler fractures typically occur between nine months and three years of age 1 and are believed to be the result of new stresses placed on the bone due to recent and increasing ambulation.Īlthough early reports 5 suggested that tibial toddler fractures were indicative of non-accidental injury, subsequent work has suggested that this is not the case and that the vast majority are not suspicious 4. Spiral fracture: The fracture line encircles the shaft like the stripes on a candy cane.This type of fracture is caused by a twisting force. The result is a spiral-shaped fracture line about the bone, like a staircase. It is important to note that this does not include spiral femoral fractures, which should raise suspicion of non-accidental injury 4. Spiral Fracture: This type of fracture is caused by a twisting force. Diagnosis is made with radiographs of the wrist. Six of 15 (40 ) tibia shaft fractures in children aged <1 year were reported for abuse. ![]() None of five (0 ) femoral fractures in children aged 12 years were reported for abuse (p 0.297). The term has sometimes also been used to describe occult fractures of other lower limb bones in the same age group (e.g. Distal Radius Fractures are the most common site of pediatric forearm fractures and generally occur as a result of a fall on an outstretched hand with the wrist extended. Femoral shaft fractures consisted of eight transverse and three spiral fractures. ![]()
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