Paediatric Orthopaedics - Fractures

Question 1

What fractures are commonly seen as a result of accidental injury?

Answer 1

Clavicle
Simple linear parietal
Greenstick fractures
Long bone fractures (linear)

Question 2

What fractures suggest non-accidental injury?

Answer 2

Major transverse fractures of a long bone
Metaphyseal fractures
Diaphyseal fractures
Rib fractures

Question 3

What bones are most commonly fractured in children?

Answer 3

Femur
Humerus
Tibia

Question 4

What features of a skull fracture would suggest non-accidental injury?

Answer 4

Diastatic
   -along suture lines
Complex
   -severe, soft tissue damage
Non-parietal
Depressed