Femur fracture (peds)

This page is for pediatric patients. For adult patients, see: femur fracture

Background

Bimodal distribution
- Toddlers: Most common mechanism is falls
- Adolescents: High energy trauma such as MVA or Auto vs Ped
Maintain high suspicion for child abuse (second most common child abuse-related fracture after humerus)

Clinical Features

History of trauma
Pain, point tenderness, deformity
Inability to walk/bear weight

Differential Diagnosis

Femur fractures

Proximal

Intracapsular
- Femoral head fracture
- Femoral neck fracture
Extracapsular
- Intertrochanteric femur fracture
- Trochanteric femur fracture

Shaft

Mid-shaft femur fracture (all subtrochanteric)

Pediatric hip pain

Evaluation

Assess for distal pulse, motor, and sensation
Inspect skin for signs of open fracture
X-ray femur

Management

Ortho consult in ED
- In general, femur fractures in children >6mo require surgical repair

Disposition

Admit

See Also

External Links

References

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