6- Paediatric Regional Trauma

Question 1

What is meant by a greenstick fracture?

Answer 1

Degree of continuity of some fibres in bone fractures, like breaking green stick from a tree
i.e. partial fracture

Question 2

The periosteum in children is much thicker and tends to remain in tact compared to in adults. True/False?

Answer 2

True

Question 3

Children’s fractures heal more quickly than adults. True/False?

Answer 3

True

Thicker periosteum with rich source of osteoblasts

Question 4

What is Wolff’s Law of bone healing in kids?

Answer 4

Children have much greater potential to remodel, with bone laid down along areas of stress

Question 5

At what age are fractures in children treated as an adult’s fracture?

Answer 5

12-14 years

Question 6

What does the Salter-Harris classification of fractures describe?

Answer 6

Physeal fractures

Question 7

Describe a Salter Harris I fracture

Answer 7

Pure physeal separation

Question 8

Describe a Salter Harris II fracture

Answer 8

Physeal separation

Small metaphyseal fragment

Question 9

Describe a Salter Harris III and IV fracture

Answer 9

Intra-articular fracture with splitting at the physis

Question 10

Describe a Salter Harris V fracture

Answer 10

Compression injury to the physis with growth arrest

Question 11

Prognosis of Salter Harris fractures is poorer with increasing classification. True/False?

Answer 11

True

Question 12

Which Salter Harris fracture is most common?

Answer 12

Salter Harris II fractures

Question 13

What is the usual site of Salter Harris II fractures in children?

Answer 13

Distal radial physis

Question 14

In children less than 2 years old, over 50% of femoral shaft fractures are due to NAI. True/False?

Answer 14

True

Question 15

Describe toddler’s fracture

Answer 15

Undisplaced spiral fractures of the tibial shaft