Paediatric Fractures Flashcards

1
Q

Risk Factors for Paediatric Fractures (4)

A

Male
Age
Previous Fracture
Metabolic Bone Disease

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2
Q

Is the periosteum active in children?

A

Yes

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3
Q

Types of Fracture in Children

A

Complete
Greenstick
Buckle (torus)
plastic deformity

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4
Q

More remodelling takes place in what region in children fracture

A

metaphyseal region

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5
Q

Children Fracture main principle

A

Remodel well in plane of joint movement

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6
Q

In a paediatric children’s open fracture what should you do

A

decried

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7
Q

children fracture reduction principle what should you do

A

Increase deformity to reduce fracture

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8
Q

How to get straight limb in children fracture with cast

A

Bent cast to give straight limb (periosteum tension)

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9
Q

what is a risk of physeal fracture in children

A

growth arrest

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10
Q

Which type of ankle paediatric fracture is most common according to salter Harris

A

SH2

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11
Q

if an ankle sh3 paediatric fracture is displaced treatment

A

anatomical reduction and fixation

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12
Q

if an ankle sh4 paediatric fracture is displaced what should you do (2)

A

ORIF

Monitor for growth arrest

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13
Q

what type of injury is tibial spine fracture in children

A

apophyseal injury

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14
Q

in tibial spine undisplaced and hinged injury fracture what should you do

A

Long leg cast

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15
Q

in tibial spine displaced and hinged injury fracture what should you do

A

ORIF

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16
Q

when does growth plate close

A

13-14

17
Q

ORIF is required for which type of injuries

A

Adolescents
Comminuated Fractures
Involving Joint surface

18
Q

Flexible nailing needs how much growth remaining

A

2 years predicted

19
Q

Non accidental injury recurrence rate

A

50%

20
Q

Which type of fractures are warnings of NAI

A

Metaphyseal Fracture
Humeral Shaft Fracture
Rib Fractures
Long Bone Fractures