PEDIATRIC FX

Question 1

describe the features of the bone in children?

Answer 1

increased porosity
higher water and osteoid content
increased vascular channels
increased plastic deformation
thicker periosteum, less adherent

Question 2

T/F, kids heal quicker?

Answer 2

true

Question 3

bones vs ligaments in children vs adults?

Answer 3

children: ligaments stronger, suspect fx
adults: bones stronger, suspect ligament disruption

Question 4

distal tibial physis closure how?

Answer 4

central, medial and lateral

Question 5

fractures in a straight line through physis?

Answer 5

type I, usually 2 weeks after the foot

Question 6

portion of metaphysis avulsed with the epiphysis is called? seen in?

Answer 6

thurston holland sign

Salter Harris Classification type II

Question 7

name this Salter Harris Classification type?

disrupts the articular surface, visible on XR. Look for joint disruption

Answer 7

type III, ORIF

Question 8

bent but no fractures is called?

Answer 8

deformation fracture

Question 9

for fractures, plate put on?

compression on what side, convex or concave?

tension on what site? convex or concave

Answer 9

tension side
concave
convex

Question 10

most common metatarsal fx in children?

what attachments are affected?

Answer 10

5th metatarsal fx

lateral slip of the plantar fascia

Question 11

name this fracture?

nutcracker fx
less common
forced forefoot abduction
horseback riding

what injury precedes this?

Answer 11

cuboid fx

lisfranc injury

Question 12

one of the most commonly injured in meds ankle trauma?

Answer 12

distal fibular fractures

Question 13

supination-eversion (lateral rotation)
anterolateral plate still open

this fx is called?

MOA?

Answer 13

juvenile tillaux fx

MOA: fibula externally rotates and AITFL avulses this anterolateral epiphysis

Question 14

pediatric triplane fx is what SH fx type?

AP, looks like?
lateral looks like?

Answer 14

SH type IV, per McGlamry

3,2