It’s tough being a kid: Toddler’s fracture

Case presentation

A 2-year-old female is brought for evaluation for right leg pain. The child was jumping in a trampoline house and fell on her right leg. The parents, who accompany the child, did not witness the mechanism by which the child injured her leg, but they state that the child was on the trampoline with several other children, the oldest of whom is 9 years old and is with the patient and her parents. The family reports that all children were bouncing vigorously when the child’s right leg became caught in a gap between the pads. After this event, the patient had pain with ambulation, which localized to the right lower leg. There are no other historical concerns, such as emesis, loss of consciousness, neck pain, or back pain.

The child appears comfortable and is interactive. She has vital signs appropriate for her age. Her examination is unremarkable, except for tenderness over the distal portion of her right lower leg. There is no edema or deformity. The patient is grossly neurovascularly intact. There does not appear to be any neck, hip, or back pain.

Imaging considerations