Pediatric Ankle and Foot Injuries

An understanding of the pediatric bony anatomy is necessary to guide the evaluation and treatment of children who present with injuries of the ankle and foot. All bones can be involved in a fracture, including Salter-Harris fractures of the distal tibia and fibula and a variety of foot fractures. Of...

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Bibliographic Details
Published in:Clinical pediatric emergency medicine 2016-03, Vol.17 (1), p.38-52
Main Authors: Horner, Kimberly, MD, Tavarez, Melissa, MD
Format: Article
Language:English
Subjects:
Age
Ankle
ankle fracture
Bones
Child development
Classification
Emergency
foot fracture
Fractures
Injuries
Jones fracture
Ligaments
Lisfranc fracture
Pain
Tillaux fracture
Triplane fracture
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Summary:An understanding of the pediatric bony anatomy is necessary to guide the evaluation and treatment of children who present with injuries of the ankle and foot. All bones can be involved in a fracture, including Salter-Harris fractures of the distal tibia and fibula and a variety of foot fractures. Of special consideration are the Tillaux, Triplane, Lisfranc, Jones, and avulsion of the fifth metatarsal fractures. Treatment of each patient must be individualized and determined by fracture type, severity and displacement, and patient age. The goal of treatment is satisfactory reduction with avoidance of complications, specifically physeal damage or arrest. Follow-up with an orthopedic surgeon after the acute visit is necessary for long-term monitoring. Instructions for patients after evaluation include cast care and reasons to return to the emergency department.
ISSN:1522-8401
1558-2310
DOI:10.1016/j.cpem.2016.01.003