Paediatric Trauma

Question 1

is the periosteum stronger in children than adults?

Answer 1

yes

Question 2

three types of childhood fractures

Answer 2

1. greenstick
2. torus
3. plastic deformation

Question 3

what is a greenstick fracture?

Answer 3

one side of the bone is broken, the other is bent

Question 4

what is a torus fracture?

Answer 4

incomplete fracture of the shaft

result of FOOSH

Question 5

what is plastic deformation?

Answer 5

bend without obvious fracture

Question 6

what is teh physis

Answer 6

cartilaginous plate that becomes bone

Question 7

how can you do a quick neurovascular check?

Answer 7

wrinkling of skin

Question 8

management of diaphyseal break

Answer 8

joint above and below immobilisation

Question 9

metaphyseal break management

Answer 9

above joint immobilisation

Question 10

when is external fixation used?

Answer 10

contaminated wounds
vascular injuries
burns
poly-trauma

Question 11

less invasive techniques

Answer 11

flexible nails

K-wires

Question 12

two types of forearm fracture-dislocations

Answer 12

1. Monteggia

2. Galeazzi

Question 13

what is Monteggia fracture?

Answer 13

fracture of ulna with dislocation of radial head

Question 14

what is galeazzi fracture?

Answer 14

fracture of radius with dislocation of distal radio-ulnar joint (DRUJ)

Question 15

when should NAI be suspected?

Answer 15

history doesn’t match
multiple injuries
delay seeking help
raised ICP

Question 16

what is Wolf’s law?

Answer 16

bone is adaptable in a healthy person

Question 17

what is Hueter Volkmann Law?

Answer 17

compression forces inhibit growth and tensile forces stimulate growth