other peds

Question 1

the Epiphyseal plate grows in what direction? and what part of the epiphyseal plate is last to close

Answer 1

it closes from anteromedial to posteromedial direction and then posterolateral.
Anterolateral portion is the last to close

Question 2

Why does Salter harris I injuries occur more commonly in very young children vs older

Answer 2

it has a wider growth plate compared to older

Question 3

what is a risk complication for salter harris I fx

Answer 3

premature closure

Question 4

post reduction of salter harris II, what type of misalignment usually occurs? to what degree is this accepted without needing correction?

Answer 4

valgus misalignment; up to 20 deg of valgus can be accepted with anticpation that remodeling over time will correct it

Question 5

How can a large thurston holland fragment in type II be reduced?

Answer 5

screw fixation of a partially threaded screw from anterior in lag fashion to reduce gap and compress fracture

Question 6

Intoeing is caused by what types of deformity in peds?

Answer 6

Intoeing in the pediatric population is caused by one of three types of deformity: metatarsus adductus, internal tibial torsion, and increased femoral anteversion

Question 7

Epiphysoidesis for juvenille HAV, what is critical when placing the staple?

Answer 7

Important to have staple penetrate bone completely from dorsal to plantar. If staple does not penetrate bone completely, the bone will continue to grow plantarly and cause metatarsus elevatus

Question 8

What is the #1 complication for correcting juvenille HAV

Answer 8

recurrence

Question 9

what is the main contributing factor to juvenile bunions/

Answer 9

MAA

Question 10

Salter Harris V; complication with this fx

Answer 10

crush injury to growth plate, can cause shortening with poor prognosis- can cause premature physeal closure