The limping child: an unusual finding of fracture to the fibula
Related Experiment Video
Updated: Feb 20, 2026

Establishing a Diaphyseal Femur Fracture Model in Mice
Published on: December 9, 2022
1Cromer Minor Injuries Unit, Emergency Department, Norfolk and Norwich University Hospital.
Insights
Emergency nurses can effectively manage toddler's fracture, a common cause of limping in children. This guide details diagnosis and treatment, including an unusual case study for better pediatric emergency care.
Area of Science:
- Pediatric Emergency Medicine
- Orthopedic Nursing
- Pediatric Orthopedics
Background:
- Limping in children is a frequent emergency department (ED) presentation with diverse, age-dependent etiologies.
- Accurate diagnosis and timely management are crucial for optimal outcomes in pediatric patients presenting with a limp.
Observation:
- This article focuses on toddler's fracture, a common diagnosis in young children with a limp.
- It outlines the essential steps for emergency department nurses in managing this specific pediatric fracture.
- An unusual case presentation is included to illustrate diagnostic and management nuances.
Findings:
- Emergency nurses require specific knowledge to differentiate toddler's fracture from other causes of pediatric limping.
- Standardized management protocols aid in the effective treatment of toddler's fracture within the ED setting.
- Case study highlights the importance of considering atypical presentations of common pediatric fractures.
Implications:
- Improved ED nurse preparedness for managing toddler's fracture can lead to more efficient and accurate patient care.
- Early and appropriate management of toddler's fracture may prevent long-term complications and improve child mobility.
- Dissemination of best practices and case studies enhances the collective knowledge base for pediatric emergency care professionals.
Abstract:
The limping child is a common presentation to emergency and other unscheduled care facilities with many potential diagnoses that are often age specific. This article describes how emergency department nurses should manage and treat 'toddler's fracture', and provides an unusual case study of the presentation.
Related Concept Videos
Bones of the Lower Limb: Tibia and Fibula
Fractures: Bone Repair
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
Bones of the Lower Limb: Femur and Patella
Changes in the Appendicular Skeleton with Age
Initially, the limb buds consist of a core of mesenchyme covered by a layer of ectoderm. The ectoderm at the end of the limb bud thickens to form a narrow crest called the apical ectodermal ridge. This ridge stimulates the underlying...
Muscles of the Leg that Move the Foot and Toes
Anterior Compartment
The anterior compartment includes muscles that contribute to the dorsiflexion of the foot. This compartment houses the tibialis anterior, extensor hallucis longus, and extensor digitorum longus muscles....

