see also [[paediatric limp]] - [Don't forget the Bubbles - toddlers fracture](https://dontforgetthebubbles.com/toddler-fracture/) - mechanism is usually trivial, a trip or a fall, and often involves a twisting mechanism - Initial x-rays may show a non-displaced spiral fracture of the tibia. However, a fracture may only be seen in multiple views. AP and lateral views should be adequate in children. An oblique view may help. A repeat x-ray in 1 week usually shows sclerosis or periosteal reaction. # XR ![[Pasted image 20240220164855.png]] # management - short leg cast or cam boot # ddx - [[bone and joint infection (paeds)|septic arthritis]] or osteomyelitis - [[Non-accidental injury|NAI]] - malignancy