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Updated: Aug 15, 2026
Pseudofracture: An Acute Peripheral Tissue Trauma Model
Published on: April 18, 2011
Toddler's fracture
B P Shravat1, S N Harrop, T P Kane
1Department of Accident and Emergency Medicine, Blackpool Victoria Hospital NHS Trust.
Insights
Toddler's fracture, a common leg injury in children, presents diagnostic challenges. Suspect it in non-weight-bearing children, considering other conditions like irritable hip.
Area of Science:
- Pediatric Orthopedics
- Radiology
- Emergency Medicine
Background:
- Toddler's fracture is a common pediatric leg injury.
- Diagnosis can be challenging, often presenting with limp or inability to bear weight.
- Differential diagnoses include irritable hip and subacute osteomyelitis.
Purpose of the Study:
- To highlight the diagnostic difficulties of toddler's fracture.
- To emphasize key clinical indicators for suspicion.
- To discuss alternative explanations for symptoms.
Main Methods:
- Clinical presentation review.
- Differential diagnosis consideration.
- Pathophysiological explanation of bone injury.
Main Results:
- Toddler's fracture should be suspected in children with unexplained limp or non-weight-bearing status.
- History of trauma is not always present.
- Elastic bone bowing and periosteal stripping can mimic fracture symptoms.
Conclusions:
- Early suspicion is crucial for timely diagnosis of toddler's fracture.
- Consider a broad differential diagnosis in trẻ em presenting with leg pain and refusal to bear weight.
- Non-fracture bone injuries should also be considered.
Abstract:
"Toddler's fracture" can be difficult to diagnose but should be suspected whenever a child presents to the accident and emergency department with a limp or fails to bear weight on the leg. Irritable hip and subacute osteomyelitis must feature in the differential diagnosis. The history may or may not include an obvious traumatic episode. Rather than fracture, elastic bowing of the bone and consequent periosteal stripping may explain symptoms in some cases.
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