Paediatric Pathologies 4.3.24

Question 1

What are common Musculoskeletal conditions?

Answer 1

• age dependent
• DDH - developmental dysplasia of the hip ~ o -2 years
• perthes - idiopathic avascular necrosis of the femoral capital epi-physis ~ 4-9 years
  -SUFE - slipped upper femoral epiphysis ~ over 9 years
• hip dysplasia due to cp
• bone tumours

Question 2

What age DDH picked up?

Answer 2

0-2 years

Question 3

Which views are used for Perthes disease?

What age does perthes disease show?

Answer 3

Frog leg lateral of both hips

4 to 9 years

Question 4

What age does SUFE appear?

Which projection is used to visualise SUFE?

Answer 4

> 9 years

Frog leg lateral

Question 5

What projection is used for hip dysplasia due to cp?

Answer 5

AP pelvis

Question 6

What are Common Chest conditions in paediatrics?

Answer 6

• Pneumonias and bronchiolitis
• pulmonary collapse, atelectasis
• pleural effusion
• pneumothorax
• cardiomegaly and cardiac failure
• cystic fibrosis (Cf)
• pulmonary Met’s _ rare
• diaphragmatic hernia

Question 7

What pelvic projection would you perform if the child was 1 years old?

Answer 7

AP

Question 8

If the child was 12 what projection is required?

Answer 8

Frog leg lateral

Question 9

If there is loss of the right heart border which lobe is affected?

Answer 9

Middle lobe - right

Question 10

Important points for Paediatric injuries

Answer 10

Remember:
ALARP
2 views
Localise the region to be x-rayed

Question 11

Torus (buckle) fractures

Answer 11

~ most common wrist # in young children
- usually from aFOOSH
~ subtle # will be missed unless a good lateral
- scaphoid # rare in <10 years

Question 12

What are the 5 common Paediatric fracture types?

Answer 12

Complete, greenstick, torus / buckle, bow

Question 13

What is the injury If there is an effusion in the elbow?

Answer 13

Possible occult # of the distal humerus