childrens fractures Flashcards
1
Q
features of a non-accidental injury
A
- Any obvious or suspected fractures in a child under <2yr
- Injuries in various stages of healing, especially burns and bruises
- More injuries than usually seen in children of the same age
- Injuries scattered on many areas of the body
- Increased intracranial pressure in an infant
- Suspected intra-abdominal trauma in a young child
- Any injury that does not fit the description of the cause given
2
Q
presentation of a fracture
A
- bruising
- swelling
- deformity
- point tenderness
- sensation
- sweating
- skin wrinkling
3
Q
investigations
A
- x-ray
- ultrasound
- arthrogram
- MRI
- CT
4
Q
what does diaphyseal mean
A
joint above and below elbow immobilised
5
Q
what does metaphyseal mean
A
adjacent joint immobilised
6
Q
what is treatment for an unstable metaphyseal
A
percutaneous fixation
7
Q
what is treatment for unstable diaphyseal
A
- flexible nailing
- conservative
8
Q
what is the salter harris classification of physeal fractures
A
Straight across - 1 Above - 2 Lower or beLow - 3 Two or Through - 4 ERasure of growth plate or cRush - 5
9
Q
what are some indications for external fixation
A
- contaminated wounds
- acute vascular injury
- burns
- multiple injuries
10
Q
is compartment syndrome a complication of a fracture
A
yes
11
Q
symptoms of compartment syndrome
A
- paraethesia
- pallor
- paralysis
- poikilothermia
- pulseless
- pain of passive extension
