Pediatric Injuries

Fractures of the foot are rare in children, presumably due to the flexibility of the immature bone and cartilage. Comparison radiographs may be of some benefit in the evaluation of these injuries. Generally, most fractures occur in the metatarsals, and these injuries are usually treated conservatively. Orthopedic consultation can be deferred, with the exception of injuries to the first metatarsal, and complications are usually minimal. Fractures of the calcaneum, talus, tarsals, and phalanges are rare. Injuries to the base of the second metatarsal suggest that a significant injury has occurred, and immediate orthopedic consultation is required. Crush injuries of the pediatric foot should be treated with care; compartment syndrome is more common in children than adults, even without fracture.7

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