From the University of Toronto Faculty of Medicine, Toronto.
Department of Pediatric Emergency Medicine, McMaster Children's Hospital, Hamilton.
Pediatr Emerg Care. 2022 Jan 1;38(1):36-39. doi: 10.1097/PEC.0000000000002600.
The tibial toddler's fracture is an important diagnosis in both emergency and urgent care, presenting as acute onset lower extremity pain or limping in a young child. Diagnosis and management may be challenging because of an extensive differential diagnosis. The objectives of this study were to provide an overview of the toddler's fracture and to guide clinicians by summarizing up to date literature for both diagnosis and management this common condition.
This study analyzed literature from the PubMed database from the years of 1964 to 2018. The main focus was on the diagnosis and management of the toddler's fracture.
This review demonstrates that diagnosis is primarily made through history and physical examination, as radiographs are often negative at initial presentation. Treatment involves a short period of immobilization, which can be facilitated through the use of a cast, a splint, or no external support. Successful healing and a full return to normal activities and development are near universal.
Although a stable fracture with an excellent prognosis, opportunities exist to improve toddler's fractures diagnosis and treatment protocols, to optimize clinical management.
胫骨幼儿骨折是急诊和紧急护理中的一个重要诊断，表现为幼儿急性下肢疼痛或跛行。由于广泛的鉴别诊断，诊断和治疗可能具有挑战性。本研究的目的是提供幼儿骨折的概述，并通过总结最新文献，为这一常见疾病的诊断和治疗提供指导。
本研究分析了 1964 年至 2018 年期间来自 PubMed 数据库的文献。主要重点是幼儿骨折的诊断和治疗。
本综述表明，诊断主要通过病史和体格检查进行，因为初始表现时 X 光片通常为阴性。治疗包括短期固定，可通过使用石膏、夹板或无外部支撑来实现。几乎所有患者都能成功愈合并完全恢复正常活动和发育。
尽管幼儿骨折预后良好，但仍有机会改进幼儿骨折的诊断和治疗方案，以优化临床管理。
