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Toddler's Fracture
Andrew Sonin, MD, FACR; Kirkland W. Davis, MD, FACR
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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

                                          1. Schuh AM et al: Management of toddler's fractures in the pediatric emergency department. Pediatr Emerg Care. ePub, 2015
                                          2. Milla SS et al: ACR Appropriateness Criteria® limping child--ages 0 to 5 years. J Am Coll Radiol. 9(8):545-53, 2012
                                          3. Sanchez TR et al: MR imaging of pediatric trauma. Magn Reson Imaging Clin N Am. 17(3):439-50, v, 2009
                                          4. Jadhav SP et al: Commonly missed subtle skeletal injuries in children: a pictorial review. Emerg Radiol. 15(6):391-8, 2008
                                          5. Dubowitz H et al: Physical abuse and neglect of children. Lancet. 369(9576):1891-9, 2007
                                          6. Swischuk LE: Pain over the anterior tibia. Pediatr Emerg Care. 23(7):518-20, 2007
                                          7. Niemeyer P et al: Stress fractures in the juvenile skeletal system. Int J Sports Med. 27(3):242-9, 2006
                                          8. Mashru RP et al: Tibial shaft fractures in children and adolescents. J Am Acad Orthop Surg. 13(5):345-52, 2005
                                          9. Swischuk LE et al: Frequently missed fractures in children (value of comparative views). Emerg Radiol. 11(1):22-8, 2004
                                          10. Donnelly LF: Toddler's fracture of the fibula. AJR Am J Roentgenol. 175(3):922, 2000
                                          11. John SD et al: Expanding the concept of the toddler's fracture. Radiographics. 17(2):367-76, 1997
                                          12. Kowal-Vern A et al: Fractures in the under-3-year-old age cohort. Clin Pediatr (Phila). 31(11):653-9, 1992
                                          Related Anatomy
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                                          Related Differential Diagnoses
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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

                                                                                  1. Schuh AM et al: Management of toddler's fractures in the pediatric emergency department. Pediatr Emerg Care. ePub, 2015
                                                                                  2. Milla SS et al: ACR Appropriateness Criteria® limping child--ages 0 to 5 years. J Am Coll Radiol. 9(8):545-53, 2012
                                                                                  3. Sanchez TR et al: MR imaging of pediatric trauma. Magn Reson Imaging Clin N Am. 17(3):439-50, v, 2009
                                                                                  4. Jadhav SP et al: Commonly missed subtle skeletal injuries in children: a pictorial review. Emerg Radiol. 15(6):391-8, 2008
                                                                                  5. Dubowitz H et al: Physical abuse and neglect of children. Lancet. 369(9576):1891-9, 2007
                                                                                  6. Swischuk LE: Pain over the anterior tibia. Pediatr Emerg Care. 23(7):518-20, 2007
                                                                                  7. Niemeyer P et al: Stress fractures in the juvenile skeletal system. Int J Sports Med. 27(3):242-9, 2006
                                                                                  8. Mashru RP et al: Tibial shaft fractures in children and adolescents. J Am Acad Orthop Surg. 13(5):345-52, 2005
                                                                                  9. Swischuk LE et al: Frequently missed fractures in children (value of comparative views). Emerg Radiol. 11(1):22-8, 2004
                                                                                  10. Donnelly LF: Toddler's fracture of the fibula. AJR Am J Roentgenol. 175(3):922, 2000
                                                                                  11. John SD et al: Expanding the concept of the toddler's fracture. Radiographics. 17(2):367-76, 1997
                                                                                  12. Kowal-Vern A et al: Fractures in the under-3-year-old age cohort. Clin Pediatr (Phila). 31(11):653-9, 1992