paediatric fractures

Question 1

growth plates

Answer 1

ends of long bones that allow then to grow in length

made of hyaline cartilage

Question 2

adults vs kids bones

Answer 2

children have growth plates
kids have more cancellous bone
adults have more cortical bone

–> childrens bones more flexible but less strong

Question 3

greenstick #

Answer 3

one side of the bone breaks but the other doesnt

Question 4

buckle #

Answer 4

compression

Question 5

growth plate # - classification

Answer 5

slater-harris

Question 6

Salter-Harris Type 1

Answer 6

straight across

Question 7

Salter-Harris Type 2

Answer 7

above

Question 8

Salter-Harris Type 3

Answer 8

below

Question 9

Salter-Harris Type 4

Answer 9

through

Question 10

Salter-Harris Type 5

Answer 10

crush

Question 11

principles of management

Answer 11

mechanical alignment - reduction - closed or open

stability

Question 12

pain management: pain ladder for kids

Answer 12

1. paracetamol or ibuprofen

2. morphine

Question 13

codiene and tramadol use in children

Answer 13

not used due to unpredictability in metabolism

Question 14

aspirin use in children

Answer 14

contraindicated in kids under 16 due to risk of reye’s syndrome

except for certain circumstances e.g. kawasaki’s