|Pediatric Ankle and Foot Injuries: Identification and Management in the Emergency Department (Trauma CME) Points & Pearls
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Pediatric Ankle and Foot Injuries: Identification and Management in the Emergency Department (Trauma CME)

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Points & Pearls Excerpt

  • In preadolescent children, growth plates and bones are weaker than ligaments. Ankle trauma is more likely to cause fractures of the physis, adjacent epiphysis, and/or metaphysis than ligamentous injuries.3 As the child continues to develop and growth plates fuse, there is a higher incidence of ligamentous injuries.
  • In the differential diagnosis of pediatric ankle and foot injuries, consider the patient’s age, level of activity, and the location of pain. See Table 1 for classic pediatric ankle and foot injuries, by location.
  • The approach to the ankle and foot examination should be standardized and consistent across patients. The IP-PASS mnemonic can be used to remember the steps in a thorough ankle and foot examination.
  • Decision-making tools such as the Ottawa ankle rule can be used to decide which injuries to image. (See Figure 8.)
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Publication Information
Authors

Elizabeth Zorovich, MD; Vlad Panaitescu, DO; John Kiel, DO, MPH, FACEP, CAQ-SM

Peer Reviewed By

Joyce Li, MD, MPH; Paula J. Whiteman, MD, FACEP, FAAP

Publication Date

March 1, 2023

CME Expiration Date

March 1, 2026    CME Information

CME Credits

4 AMA PRA Category 1 Credits™, 4 ACEP Category I Credits, 4 AAP Prescribed Credits, 4 AOA Category 2-A or 2-B Credits.
Specialty CME Credits: Included as part of the 4 credits, this CME activity is eligible for 4 Trauma credits, subject to your state and institutional approval.

Pub Med ID: 36790861

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