Childrens fractures Flashcards
colour of fracture on xray
black line usually
what happens to the growth plate as you get older
it fuses
difference between child and dult bone
less dense, less calcium, less stiff, more porous ; capillary channels
which bends easier adult or child bone
child
what part of the child bone is prone to injury
physis; growth plate
advantage of child bone
heals faster and remodels
absorb a lot of energy before they fail
what helps fractures heal
the periosteum as it releases special cells which help the damage
what surrounds bone
periosteum
in kids; what is more stronger than bone
ligaments and tendons
area of weakness
where metaphysis meets physis
green stick fracture
crack on one side and bend on the other ; like a stick
bends enough to crack on one side
buckle fracture
compression fracture caused by sudden pressure on a bone
plastic deformation
minor bend
deformation of the bone without fracture
doesnt often need help
salter harris classification
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
can you see the joint in childs elbow on scan
no as it is not ossified
critol
chronlogical order of ossification
capitellum
radial head
internal epicondyle
trochlea
olceranon
external epicondyle
titanium elastic nails
can do in kids not adults
bendy nails made of titanium
used for forearm fractures
supracondylar fractures
humerus broken near elbow area just above joint
gartland classification
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
fat pad
normal pads surroudning elbow become raised due to blood in joint which pushes the fat out
when is a fat pad abnormal
if its posterior ; has a sail sign
order of bone in child
diaphysis
metaphysis
physis growth plate
epiphysis