You are seeing a 18-month old female in the ED. She was brought in by her father because she refused to walk since a fall that happened yesterday. She was playing with her step-brothers when she fell. On exam, she is tender on palpation of her right shin and it is slightly swollen. She has no bruising and is behaving normally. An X-ray reveals an undisplaced spiral fracture through the distal tibial shaft. What do you do next?

About the Author: Anton Helman

Dr. Anton Helman is an Emergency Physician at North York General in Toronto. He is an Assistant Professor at the University of Toronto, Division of Emergency Medicine and the Education Innovation Lead at the Schwartz-Reisman Emergency Medicine Instititute. He is the founder, editor-in-chief and host of Emergency Medicine Cases.