John S D, Moorthy C S, Swischuk L E
Department of Radiology, University of Texas Medical Branch, Galveston 77555, USA.
Radiographics. 1997 Mar-Apr;17(2):367-76. doi: 10.1148/radiographics.17.2.9084078.
Fracture of the tibia is a well-known, often occult cause of limping and leg pain in young children. This fracture is typically a hairline, oblique fracture of the shaft of the tibia, and in some cases the fracture can be so subtle that bone scintigraphy or follow-up radiography may be required for its detection. In addition, a variety of other fractures that are less well known and just as difficult to detect can occur in the tibia and the foot in young children. These fractures include plastic bowing and buckle-type fractures, especially of the fibula; impaction, compression, or stress (fatigue) fractures of the tibia and fibula; and fractures of the metatarsal and tarsal bones. All of these fractures can be remarkably similar to the non-displaced spiral tibial fracture in their clinical appearance and should be included under the rubric of "toddler's fracture."
胫骨骨折是幼儿跛行和腿痛的一个常见但常隐匿的原因。这种骨折通常是胫骨骨干的细微、斜形骨折，在某些情况下，骨折可能非常不明显，以至于需要骨闪烁显像或后续的X线摄影来检测。此外，幼儿的胫骨和足部还可能发生各种其他不太为人所知且同样难以检测到的骨折。这些骨折包括塑性弯曲和扣锁型骨折，尤其是腓骨的此类骨折；胫骨和腓骨的嵌入、压缩或应力（疲劳）骨折；以及跖骨和跗骨骨折。所有这些骨折在临床表现上都可能与无移位的螺旋形胫骨骨折非常相似，应归入“幼儿骨折”这一类别。
