Paediatric orthopaedics Flashcards
SCFE, Juvenile RA, osgood schlatter in MSK flashcard
:)
Bone cancers - go through this in own time
Osteosarcoma, osteochondroma, erwigs sarcoma, giant cell tumour
When do growth plates close
14-25
Radiographic changes of growth plates when they close
Epiphyseal line - growth plate turns into thin epiphyseal line
Disappearance of growth plate
Salter Harris classification system for growth plate injuries
Type I: Slip
*Fracture occurs through the growth plate only.
*Rarely visible on X-rays because it involves the cartilaginous portion of the growth plate
Type II: Above
*Fracture extends through the growth plate and metaphysis.
*Most common type of growth plate fracture.
*fracture line extending above the growth plate on X-rays.
Type III: Lower
*Fracture extends through the growth plate and epiphysis.
*X-rays.
Type IV: Through
*Fracture extends through the growth plate, metaphysis, and epiphysis
* X-rays.
Type V: Crush
*Compression injury to the growth plate
*Not visible on X-rays - MRI diagnosis
Treatment for each type of growth plate injury
Type 1 - immobilisation
Type 2 - immobilisation and closed reduction if there is displacement, may need surgical intervention if significant displacement
Type 3 - high risk of growth disturbance - careful reduction to prevent this. Surgical intervention if severe displacement
Type 4 - high risk of growth disturbance - surgical management and long term follow up
Type 5 - high risk of growth disturbance - needs MRI diagnosis - close monitoring, surgery if severe