Ortho - Paeds Trauma

Question 1

at what age do fractures start getting treated as adult fractures?

Answer 1

12-14yrs

Question 2

what is the salter harris classification types?

Answer 2

I - Slipped
II - Above
III - Lower (through epiphysis)
IV - Through (metaphysis and epiphysis)
V - Rammed (crush of physis)

SALTR

Question 3

what are the areas of bone called?

Answer 3

metaphysis
physis (growth plate)
epiphysis (distal)

Question 4

what are the types of distal radial # in kids?

Tx?

Answer 4

buckle -> splint

greenstick -> manipulate and cast

Question 5

what is a monteggia fracture? Tx?

Answer 5

ulnar #
dislocated radial head

(MUgger)

reduce and fixate

Question 6

what is a galeazzi fracture? Tx?

Answer 6

radial #
dislocated DRUJ

(mugGeR)

reduce and fixate

Question 7

what # occurs with a FOOSH in kids? Tx?

Answer 7

supracondylar # of distal humerus

splint
or reduce and pin

Question 8

Tx for femoral shaft # in kids?

Answer 8

2-6yrs - thomas splint
6-12 - flexible IM nail
>12 - IM nail

Question 9

what injury mechanism can cause a femoral shaft #?

Answer 9

fall onto flexed knee

Question 10

what type of fracture of the tibia is common in kids? who gets it?

Answer 10

spiral #

toddlers