Ped Sim Flashcards
Pediatric xrays hard to read because of ___________
Strategy:
Growth plates
Compare both sides (2 xrays)
Describe a fracture
- Determine and describe injury
- Displacement
- Angulation
- Shortening
- Opposition
- Open
- Closed
•Fractures of the ______ are the most common long bone fractures
tibia
•Most common fracture of the lower limb occurs at the ______
tibial diaphysis
3 specific types of Tibial Fractures
Toddler’s fractures
Proximal tibial metapyhyseal fractures
Tibia shaft fractures
Distal spiral fracture of tibia
Toddler fracture
Toddler fracture ages
9 months - 3 years
Causes Toddler Fracture
minor trauma when children are learning to walk
Healing Toddler’s fractures
really quickly
Tibial plateau fractures causes
- Occur from axial loading with valgus or varus forces
- Injury such as fall from a height or collision with bumper of car
Tibial plateau fractures usually at _____ rather than
lateral more frequently than medial
Classification of Tibial Plateau fractures
Schatzker types I, II, and III tibial plateau fractures.
Type I consists of a wedge fracture of the lateral tibial plateau, produced by low-force injuries.
Type II combines the wedge fracture of the lateral plateau with depression of the lateral plateau.
Type III fractures are classified as those with depression of the lateral plateau but no associated wedge fracture.
If you see a tibial fracture, look for a _______
fibular fracture
Tx tibia shaft fracture (f/up? refer?)
- Posterior lower leg splint if acute
- Non-displaced fractures: long leg cast for 6-8 weeks
- Repeat radiographs weekly to check position
- Refer if angulates more than 15o
Compartment syndrome w/ pediatric tibia shaft fractures
5-10% of Pediatric tibia shaft fractures
Salter
