Femoral shaft fractures are described based on their location and fracture pattern. Patients will present with leg pain, refusal to ambulate, or a deformity after a fall or other trauma. Physical exam should include a complete evaluation for other associated injuries, particularly in the setting of high energy trauma. Differential diagnoses include proximal femur and femoral neck fractures, hip dislocation, and distal femoral physeal fractures.
An important red flag is a young child with a femoral shaft fracture who is not yet of walking age. The risk of non-accidental trauma in these children is very high and should be considered during the workup.
Full Article - https://www.orthopaedia.com/pediatric-fractures-of-the-lower-extremities/#Femoral-Shaft
