pads trauma general information

Question 1

why are children fractures different to adults fractures

Answer 1

children bone are more elastic and pliable so they tend to buckle or partially fracture or splinter with some degree of continuity of fibres rather than break completely

Question 2

periosteum function

Answer 2

serves to increase the width of growing long bones

Question 3

the periosteum in children

Answer 3

is much thicker and tends to remain intact in fractures

Question 4

childrens fractures

Answer 4

heal more quickly than adults fractures due to the thicker periosteum which is rich in osteoblasts

Question 5

children have a

Answer 5

much greater potential for remodelling as they grow with bone being formed along lines of stress and they can correct angulation up to 10 degrees per year of growth remaining in that bone

Question 6

law for bone remodelling

Answer 6

wolfs law

Question 7

wolfs law

Answer 7

bone changes shape according to the load it is placed under, at areas of stress more bone will be laid down

Question 8

general management of children fractures

Answer 8

children fractures are much less surgically stabilised than adult fractures

Question 9

when is surgery only used

Answer 9

plates and screws are only used for very unstable periarticular injuries or where a fracture is associated with a dislocation (monteggia and gallaezi fractures of the forearm)

Question 10

once a child has reached puberty

Answer 10

fractures are managed as adults fractures

Question 11

fractures around the

Answer 11

physics can disturb bone growth