Growth Plate #s Flashcards

1
Q

What is a growth plate?

A

Cartilage located near ends of bone

Last portion of bone to harden so vulnerable to injury

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2
Q

Why do growth plate #s need immediate treatment?

A

Bc if not treated properly –> grows crooked / unequal length to opposite limb

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3
Q

Why are boys more prone to growth plate #s?

A

Bc growth plates close later in boys

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4
Q

Where are the most common growth plate #s?

A
  1. Fingers
  2. Radius
  3. Tibia + Fibula
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5
Q

What are the clinical features of Growth Plate #s? (4 things)

A
  1. Pain
  2. Swelling
  3. Tenderness
  4. Inability to move / weight bear
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6
Q

What is the classification method for Growth Plate #s?

A

Salter Harris

Mnemonic = S A L T ER (for types 1 - 5)

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7
Q

What is a Type 1 Growth Plate # in the Salter Harris classification?

A

S - Straight across

(# straight across the growth plate)

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8
Q

What is a Type 2 Growth Plate # in the Salter Harris classification?

A

A - Above

(# above the growth plate)

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9
Q

What is a Type 3 Growth Plate # in the Salter Harris classification?

A

L - Lower

(# lower than growth plate)

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10
Q

What is a Type 4 Growth Plate # in the Salter Harris classification?

A

T - Two / Through

(# through growth plate)

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11
Q

What is a Type 5 Growth Plate # in the Salter Harris classification?

A

ER - Erasure of growth plate / cRushing of growth plate

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12
Q

What are the radiological investigations for Growth Plate #s? (2 things)

A
  1. XR
  2. CT / MRI if more serious injuries
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13
Q

What is the non-surgical management option for Growth Plate #s?

A

Immobilisation (cast)

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14
Q

What is the surgical management option for Growth Plate #s?

A

Internal fixation

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15
Q

What is the complication of Growth Plate #s and their treatments?

A

Growth arrest @ growth plate

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16
Q

What are the 4 stages of bone healing?

A
  1. Haematoma (bloodclart) formation
  2. Fibrocartilogenos callus formation (soft bone)
  3. Bony callus formation (hard bone)
  4. Bone remodelling