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A 2-year and 11-month old child fell while playing with friends 2 hours ago and has avoided bearing weight on the right leg since that time. The child is afebrile and exam reveals tenderness along the distal tibial shaft with no significant swelling. Radiographs are shown in Figure A and B. What is the most appropriate treatment?
MRI of the tibia
Aspiration of the tibia
Referral to child services
Long leg cast application
Serum vitamin D, calcium, and phosphate levels
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A 23-month-old girl refuses to bear weight since falling on the playground yesterday. The child is afebrile and her WBC and erythrocyte sedimentation rate (ESR) are within normal limits. On physical exam the leg has no erythema, but does have mild tenderness along the distal tibial shaft. Plain radiographs are negative. What is the most appropriate management?
vitamin D and calcium levels
MRI of the pelvis
long leg cast
aspiration of the knee
HPI - 13 year-old male experienced trauma two weeks ago and suffered both bone fracture. The patient was initially treated in a long let cast.
Based on the 2 week xrays, how would you treat this pediatric tib-fib fracture?
HPI - struck by car
no soft tissues problem, no other injuries,
What is the best treatment option?
HPI - 12 year old female softball player got her cleats stuck sliding into home plate and twisted her lower leg.
Treatment for this adolescent tibial shaft fracture