Paediatric Trauma Flashcards
1
Q
what is Salter Harris 1 fracture?
A
pure physeal fracture
2
Q
what is a Salter Harris 2 fracture?
A
similar to 1 but small metaphyseal fragment attached to physis and epiphysis
MOST COMMON
3
Q
what is salter harris 3+4 fractures?
A
intra-articular andwith fracture splitting the physis
4
Q
what is a salter harris 5 fracture?
A
a compression injury to the physis with subsequent growth arrest
5
Q
what are non accidental injuries cause by?
A
child abuse (usually)
6
Q
what makes you suspect child abuse?
A
multiple fractures of varying ages
multiple trips to A&E with different injuries
7
Q
inconsistent/changing history of events discrepancy of history between parents/carers history not consistent with injury multiple bruises of varying ages atypical injuries e.g fag burns, genital injuries, dental injuries lower limb and trunk burns rib fractures metaphyseal fractures in infants
A
child abuse?!?!
8
Q
how much time do buckle fractures take to heal?
A
3-4 weeks of splintage
9
Q
what/ where are common fractures in children?
A
distal radial fractures forearm fractures supracondylar fractures of elbow femoral shaft fractures tibial fractures