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Foot fractures (other than metatarsal or phalangeal) in children

Kathy Boutis, MD, FRCPC, FAAP, MSc
Section Editor
Richard G Bachur, MD
Deputy Editor
James F Wiley, II, MD, MPH


This topic will discuss the management of mid- and hindfoot fractures in children. Metatarsal and toe fractures in children and foot fractures in adults are discussed separately. (See "Metatarsal and toe fractures in children" and "Metatarsal shaft fractures" and "Toe fractures in adults" and "Sesamoid fractures of the foot".)


Although forefoot fractures (metatarsal and toe fractures) account for the majority of pediatric foot fractures, midfoot, and hindfoot fractures have the greatest potential for causing permanent deformity and disability [1,2].

Among these less common foot fractures, talar neck fractures are seen most frequently. Fractures of the calcaneus, cuboid, navicular, cuneiform, or tarsometatarsal (Lisfranc) region are rare [3-5]. However, as more children and adolescents have become users of motorized recreational vehicles (eg, mini scooters, motorized dirt bikes, all terrain vehicles, snowmobiles) or have participated in snowboarding, the frequency and severity of these foot injuries has increased [1,6].


The foot is divided into three regions (figure 1A-C):

Forefoot – Metatarsal and phalangeal bones

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Literature review current through: Nov 2017. | This topic last updated: Apr 28, 2017.
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