Paediatric Regional Trauma Flashcards
What is meant by a greenstick fracture?
Degree of continuity of some fibres in bone fractures, like breaking green stick from a tree
i.e. partial fracture
The periosteum in children is much thicker and tends to remain in tact compared to in adults. True/False?
True
Children’s fractures heal more quickly than adults. True/False?
True
Thicker periosteum with rich source of osteoblasts
What is Wolff’s Law of bone healing in kids?
Children have much greater potential to remodel, with bone laid down along areas of stress
At what age are fractures in children treated as an adult’s fracture?
12-14 years
What does the Salter-Harris classification of fractures describe?
Physeal or Growth plate fractures
Describe a Salter Harris I fracture
Pure physeal separation (STRAIGHT ACROSS)
Describe a Salter Harris II fracture
Physeal separation
Small metaphyseal fragment
(ABOVE)
Describe a Salter Harris III and IV fracture
Intra-articular fracture with splitting at the physis
LOWER) (THROUGH
Describe a Salter Harris V fracture
Compression injury to the physis with growth arrest
CRUSH
Prognosis of Salter Harris fractures is poorer with increasing classification. True/False?
True
Which Salter Harris fracture is most common?
Salter Harris II fractures
What is the usual site of Salter Harris II fractures in children?
Distal radial physis
In children less than 2 years old, over 50% of femoral shaft fractures are due to NAI. True/False?
True
Describe toddler’s fracture
Undisplaced spiral fractures of the tibial shaft
