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KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Pathology
Clinical Issues
Diagnostic Checklist
TERMINOLOGY
Definitions
- Lower extremity fracture or stress fracture in young children, usually as they begin walking
- May or may not be known injury event
IMAGING
General Features
Radiographic Findings
CT Findings
MR Findings
Nuclear Medicine Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Reporting Tips
Selected References
- Payares-Lizano M: The limping child. Pediatr Clin North Am. 67(1):119-38, 2020
- Adamich JS et al: Do toddler's fractures of the tibia require evaluation and management by an orthopaedic surgeon routinely? Eur J Emerg Med. 25(6):423-8, 2018
- Bartoloni A et al: Imaging of the limping child. Eur J Radiol. 109:155-70, 2018
- Seguin J et al: Nationwide survey on current management strategies of toddler's fractures. CJEM. 20(5):739-45, 2018
- Schuh AM et al: Management of toddler's fractures in the pediatric emergency department. Pediatr Emerg Care. 32(7):452-4, 2016
- Milla SS et al: ACR Appropriateness Criteria® limping child--ages 0 to 5 years. J Am Coll Radiol. 9(8):545-53, 2012
- Sanchez TR et al: MR imaging of pediatric trauma. Magn Reson Imaging Clin N Am. 17(3):439-50, v, 2009
- Jadhav SP et al: Commonly missed subtle skeletal injuries in children: a pictorial review. Emerg Radiol. 15(6):391-8, 2008
- Dubowitz H et al: Physical abuse and neglect of children. Lancet. 369(9576):1891-9, 2007
- Swischuk LE: Pain over the anterior tibia. Pediatr Emerg Care. 23(7):518-20, 2007
- Niemeyer P et al: Stress fractures in the juvenile skeletal system. Int J Sports Med. 27(3):242-9, 2006
- Mashru RP et al: Tibial shaft fractures in children and adolescents. J Am Acad Orthop Surg. 13(5):345-52, 2005
- Swischuk LE et al: Frequently missed fractures in children (value of comparative views). Emerg Radiol. 11(1):22-8, 2004
- Donnelly LF: Toddler's fracture of the fibula. AJR Am J Roentgenol. 175(3):922, 2000
- John SD et al: Expanding the concept of the toddler's fracture. Radiographics. 17(2):367-76, 1997
- Kowal-Vern A et al: Fractures in the under-3-year-old age cohort. Clin Pediatr (Phila). 31(11):653-9, 1992
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References
Tables
Tables
KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Pathology
Clinical Issues
Diagnostic Checklist
TERMINOLOGY
Definitions
- Lower extremity fracture or stress fracture in young children, usually as they begin walking
- May or may not be known injury event
IMAGING
General Features
Radiographic Findings
CT Findings
MR Findings
Nuclear Medicine Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Reporting Tips
Selected References
- Payares-Lizano M: The limping child. Pediatr Clin North Am. 67(1):119-38, 2020
- Adamich JS et al: Do toddler's fractures of the tibia require evaluation and management by an orthopaedic surgeon routinely? Eur J Emerg Med. 25(6):423-8, 2018
- Bartoloni A et al: Imaging of the limping child. Eur J Radiol. 109:155-70, 2018
- Seguin J et al: Nationwide survey on current management strategies of toddler's fractures. CJEM. 20(5):739-45, 2018
- Schuh AM et al: Management of toddler's fractures in the pediatric emergency department. Pediatr Emerg Care. 32(7):452-4, 2016
- Milla SS et al: ACR Appropriateness Criteria® limping child--ages 0 to 5 years. J Am Coll Radiol. 9(8):545-53, 2012
- Sanchez TR et al: MR imaging of pediatric trauma. Magn Reson Imaging Clin N Am. 17(3):439-50, v, 2009
- Jadhav SP et al: Commonly missed subtle skeletal injuries in children: a pictorial review. Emerg Radiol. 15(6):391-8, 2008
- Dubowitz H et al: Physical abuse and neglect of children. Lancet. 369(9576):1891-9, 2007
- Swischuk LE: Pain over the anterior tibia. Pediatr Emerg Care. 23(7):518-20, 2007
- Niemeyer P et al: Stress fractures in the juvenile skeletal system. Int J Sports Med. 27(3):242-9, 2006
- Mashru RP et al: Tibial shaft fractures in children and adolescents. J Am Acad Orthop Surg. 13(5):345-52, 2005
- Swischuk LE et al: Frequently missed fractures in children (value of comparative views). Emerg Radiol. 11(1):22-8, 2004
- Donnelly LF: Toddler's fracture of the fibula. AJR Am J Roentgenol. 175(3):922, 2000
- John SD et al: Expanding the concept of the toddler's fracture. Radiographics. 17(2):367-76, 1997
- Kowal-Vern A et al: Fractures in the under-3-year-old age cohort. Clin Pediatr (Phila). 31(11):653-9, 1992
