This most commonly occurs in young children and is sometimes referred to as a trampoline fracture, since this is a common mechanism of injury. Proximal tibia fractureĪ proximal tibia fracture is a fracture of the upper end of the tibia near the knee. Fractures involving the upper portion of the tibia closer to the knee require a long-leg cast, whereas fractures to the middle to lower portions closer to the ankle might be treated with a short-leg cast or even a walking boot. Treatment varies based on your child’s age and the fracture location and alignment. Any portion of the tibia can be fractured, but the middle portion (or shaft) is the most common area to sustain a fracture. Tibia fractures can occur both with high-energy injuries or with any sort of twisting injury. The tibia, or shin bone, is one of the two bones in the lower leg that forms both the knee and ankle joints. These fractures can be treated in a long-leg cast, but if they involve the growth plate, your child’s doctor will need to monitor the leg in the future due to the potential for growth disturbance. These fractures occur just above the knee and frequently involve the growth plate in this area. Older children or children with more severe fractures are more likely to require surgery due to the reduced potential for their body to naturally remodel and reshape the bone. In some cases, this type of fracture may require surgical correction using flexible nails, rigid nails or plates and screws. It is typically treated with a hip spica cast with or without closed reduction (setting the bone without surgery). Femoral shaft fractureĪ femoral shaft fracture is a break in the midportion of the bone. Older children and adolescents will likely require a hip spica cast or potentially surgery, depending on the location and severity of the fracture. Hip fractureĪ fracture of the upper portion of the femur is considered a hip fracture and can be treated with a soft harness or brace in infants and toddlers. Occasionally, a femur fracture can heal in a shortened position or have some overgrowth while healing, so your doctor may suggest monitoring leg lengths for several years following the injury. Any femur fracture in an infant or toddler who is not yet walking is concerning and may be a sign of child abuse. The femur requires a lot of energy to fracture, so these fractures typically occur as the result of accidents such as car crashes, contact sports or falls from a height. Fractures can occur at any location along the bone, although factors like your child’s age, the fracture location, and alignment can all impact the treatment plan. The femur, or thigh bone, is the largest and also one of the strongest bones in the body.
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