Trochanteric Fractures in Young Children.

Area of Science:

• Pediatric Orthopedics
• Traumatology
• Radiology

Background:

• Trochanteric fractures are uncommon in children under two years old.
• These injuries are often missed in initial emergency department assessments.
• Unlike in adults, these fractures in children are not typically associated with metastatic disease.

Observation:

• This case series reports five children under two years with trochanteric fractures.
• Three of the five cases were initially unrecognized.
• The study highlights the rarity of these fractures in this age group.

Findings:

• All five patients achieved early and complete recovery.
• Treatment involved immobilization and symptomatic care.
• No surgical intervention was required for any of the cases.

Implications:

• A high index of suspicion is necessary for diagnosing trochanteric fractures in young children.
• Careful examination of plain radiographs is essential when evaluating limping children.
• Prompt and accurate diagnosis allows for successful non-operative management and favorable outcomes.