Childrens fractures Flashcards

1
Q

colour of fracture on xray

A

black line usually

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2
Q

what happens to the growth plate as you get older

A

it fuses

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3
Q

difference between child and dult bone

A

less dense, less calcium, less stiff, more porous ; capillary channels

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4
Q

which bends easier adult or child bone

A

child

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5
Q

what part of the child bone is prone to injury

A

physis; growth plate

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6
Q

advantage of child bone

A

heals faster and remodels
absorb a lot of energy before they fail

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7
Q

what helps fractures heal

A

the periosteum as it releases special cells which help the damage

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8
Q

what surrounds bone

A

periosteum

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9
Q

in kids; what is more stronger than bone

A

ligaments and tendons

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10
Q

area of weakness

A

where metaphysis meets physis

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11
Q

green stick fracture

A

crack on one side and bend on the other ; like a stick
bends enough to crack on one side

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12
Q

buckle fracture

A

compression fracture caused by sudden pressure on a bone

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13
Q

plastic deformation

A

minor bend
deformation of the bone without fracture
doesnt often need help

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14
Q

salter harris classification

A

1- Straight through physis
2- Through physis and takes a chunk of metaphysis with it
3- Into physis and exits in epiphysis
4- Sheers straight through physis and metaphysis
5. Crush injury to growth plate

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15
Q

can you see the joint in childs elbow on scan

A

no as it is not ossified

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16
Q

critol

A

chronlogical order of ossification
capitellum
radial head
internal epicondyle
trochlea
olceranon
external epicondyle

17
Q

titanium elastic nails

A

can do in kids not adults
bendy nails made of titanium
used for forearm fractures

18
Q

supracondylar fractures

A

humerus broken near elbow area just above joint

19
Q

gartland classification

A

type 1 non displaced
type 2 a intact posterior cortex , hinged in extension no rotation or translation
type 2b; intact posterior cortex , hinged in extension with some degree of rotational displacement or translation
type 3 complete displacement

20
Q

fat pad

A

normal pads surroudning elbow become raised due to blood in joint which pushes the fat out

21
Q

when is a fat pad abnormal

A

if its posterior ; has a sail sign

22
Q

order of bone in child

A

diaphysis
metaphysis
physis growth plate
epiphysis

23
Q
A