Immobilization Versus Observation in Children With Toddler's Fractures: a Prospective Randomized Controlled Trial

Inclusion Criteria: * • Children ages 1-5 years old with radiographic evidence of a non-displaced spiral or oblique fracture of the tibial shaft or metaphysis. Exclusion Criteria: * • Children with clinical suspicion but lack of radiographic evidence for toddler's fracture * Fractures displaced \>2mm * Open fractures * Pathologic fracture * Fractures involving the physis * Previous fracture of the ipsilateral extremity * Concomitant fracture involving the ipsilateral or contralateral leg * Concomitant head injury * Non-ambulatory children (i.e., those who have not yet begun to walk) * Children with bone-metabolism disorders (i.e., osteogenesis imperfect, rickets) * Children who are geographically prohibited from following up in our system * Children whose caregivers are not proficient in English * Presentation \>7 days from injury * Cases considered to be non-accidental trauma