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Femoral Shaft Fractures - Pediatric
Posted: Apr 9 2020 #(C101422)
A

Femoral Shaft Fx in 2F

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Femoral Shaft Fx in 2F

HPI

A 2-year-old female fell while walking in the kitchen. It was a witnessed fall. She was brought to ER 30 minutes after the fall. There was no discrepancy on her history from the family.

PMH

Her Past Medical History is negative. She lives locally with both parents. There is no history of prior fractures.

PE

On physical exam she weighs 15 kg. She refuses to walk. She is swollen and tender to palpation over the right femur. She has no other areas of focal tenderness in her extremities. She has no abnormal skin lesions on a careful exam of her extremities.

Poll
1 of 1
1. What additional xray views of the fracture would you obtain to guide treatment?
None, current xrays enough
79%
1769/2236
    • AP/lateral hip and knee
    14%
    328/2236
    • AP/lateral hip
    1%
    31/2236
    • AP/lateral knee
    1%
    42/2236
    • Outside my area of expertise - best if I don't vote
    2%
    66/2236
    • PROCEDURE #1 DOP: 1/1/2020

    Application of single leg spica cast

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    OUTCOMES
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    Post-procedure P1
    5 weeks after
    Post-procedure P1
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