FIGURE 111.37 Fracture of the right femoral neck in a 3-year-old girl Intertrochanteric fractures These fractures are relatively uncommon in children and adolescents and have a lower risk of complications Orthopedics should be consulted urgently Nondisplaced or minimally displaced fractures may be treated with a spica cast for to weeks With significantly displaced fractures, internal fixation may be necessary to attain appropriate alignment Disposition Hip dislocations, proximal femur fractures, displaced femoral neck fractures, and intertrochanteric fractures should be admitted to the hospital for orthopedic management