Pediatric Fractures

Question 1

What are 3 common paediatric fractures?

Answer 1

Pulled elbow ~ proximal radial head subluxation

Green stick

Salter-Harris

Question 2

What is a Salter Harris fracture?

Answer 2

Involves the physis (growth plate)

S-1-straight: straight across metaphysics
A-2: above: transverse metaphysics & triangular portion
L-3: low: transverse through physis & into epiphysis, may go into joint
T4: Through: through metaphysis, physis, epiphysis & into joint
ER5: crush: crush injury has erased the physis

S3,4,5 to with surgery

Question 3

What is a green stick fracture

Answer 3

Side that received the force fractures but the side of compression does not

In children bc of their flexible bones

Usually happens to radius, ulna, fibula

Question 4

What is a pulled elbow?

Answer 4

Proximal radial head subluxation

Pulling on the pronates outstretched arm

Question 5

What injuries are most common in child abuse?

Answer 5

Rib fractures
Fractures in hands/feet but they cannot walk yet
Radial head subluxation
Mid shaft spiral humeral fractures