Paediatric Issues

Question 1

Little League Shoulder

Answer 1

HUMERUS HEAD STRESS FRACTURE (at growth plate)
Sign: swelling, dominant shoulder pain, overhead athlete
Care: ice, rest

Question 2

Slipped Capital Epiphysis

Answer 2

FEMORAL BONE SLIP, HEAD MAINTAINED (hip-leg insertion)
Sign: decreased hip abduction, internal rotation, shortened leg
Care: surgical emergency

Question 3

Green Stick Fracture

Answer 3

INCOMPLETE FRACTURE WITH BEND/CRACK
Sign: tender on palpation, swelling, specific bone pain w/ generalized tissue pain
Care: immobilize, refer for x-ray

Question 4

Little League Elbow

Answer 4

OUTER MOST ELBOW BONE CRACKED/STRESSED
Sign: pain, decreased velocity/control, tender, pain with resisted wrist flexion
Care: ice, splint/brace, refer x-ray

Question 5

Osgood-Schlatter

Answer 5

TENDON TENSION AT TOP OF TIBIA (shin bone -> tibial tuberosity)
Sign: slow onset tenderness, excessive pronation, bump, tight muscles
Care: alter activity, ice, address imbalances

Question 6

Sinding-Larsen-Johansson Syndrome

Answer 6

TENDON TENSION UNDER PATELLA (knee cap -> inferior patella pole)
Sign: slow onset tenderness, excessive pronation, bump, tight muscles
Care: alter activity, ice, address imbalances

Question 7

Sever’s Disease

Answer 7

ACHILLES TENDON PULLING ON GROWING CALCANEUS
Sign: very painful, tender, decreased dorsiflexion, over pronation
Care: alter activity, ice, heel lift, address imbalances

Question 8

Hip Avulsion

Answer 8

FRACTURE FRAGMENT PULLED AWAY FROM BONE (at hip)
Sign: pop/tear, pain on palpation, pain in groin, pain with stretch/resisted flexion
Care: ice, protect gait, refer x-ray