Chapter 40 muscuskletal

Question 1

Child fractures differ from adult

by

Answer 1

Less complicated
Heal more quickly
Occur from different causes (usually

Question 2

Most commonly fractured

are

Answer 2

Clavicle; femur; tibia

Humerus; wrist; fingers

Question 3

Separated fragments of bone

Answer 3

complete

Question 4

Bones partially joined

Answer 4

incomplete

Question 5

Common in children

Answer 5

green stick

Question 6

Fractured bone penetrates skin

Answer 6

compound open

Question 7

Single break in bone without skin penetration

Answer 7

simple closed

Question 8

Wrenching force fracture, frequently associated with child abuse

Answer 8

spiral fracture

Question 9

five p’s

Answer 9

Pain; pulse; paresthesia; paralysis; pallor

Question 10

Infection of the bone caused by Staphylococcus aureus

Answer 10

Osteomyelitis

Question 11

clinical manesfestations osteomyelitis

Answer 11

Clinical manifestations: Abrupt occurrence
Fever; malaise; pain; localized tenderness; limited joint motion
Diagnosis: Laboratory results; later on: radiographs

Question 12

Hereditary, progressive, degenerative muscle disease

Answer 12

Muscular Dystrophy

Question 13

Clinical manifestations: Muscular Dystrophy

Answer 13

Clinical manifestations: First signs noted: infancy or childhood
Difficulty standing and walking; trunk muscle weakness develops (later)
Mild mental retardation
Progressive muscle weakness
No effective treatment

Question 14

Aseptic necrosis of the head of the femur

Answer 14

Legg–Calvé–Perthes Disease

Question 15

clinical manesfestations Legg–Calvé–Perthes Disease

Answer 15

Pain in hip/groin; limp with muscle spasms; limited motion

treatment Containing the femoral head within acetabulum during revascularization process: facilitate new femoral head formation into smoothly functioning joint
Reconstructive surgery

Question 16

Malignant, long-bone tumor; boys more frequently than girls

Pediatric exposure to radiation or retinoblastoma increase likelihood

Answer 16

Osteosarcoma

Question 17

clinical manesfestations Osteosarcoma

Answer 17

Pain, swelling at tumor site
Pathologic fractures of the bone and lung metastasis can occur
Surgical removal of the bone or the limb (amputation), followed by chemotherapy

Question 18

Malignant tumor found in bone marrow of the long bones of older school-aged or adolescent boys

Answer 18

Ewing Sarcoma

pain at tumor site

Question 19

Lateral curvature of the spine in two forms: Structural; functional (more common)

Answer 19

Scoliosis