Q4: Pediatric Fx Management

Question 1

Displaced Fx

Child vs. Adult

Answer 1

Children - usually do not require Sx, just immobilization

Question 2

Osteogenesis

Answer 2

ability to make bone

Question 3

Why is osteogenesis greater in children?

Answer 3

• high metabolism
• greater vasculature
• no chronic adult conditions (PVD, diabetes, etc.)
• THEY CAN MAKE LARGE AMOUNTS OF CALLUS

Can make bone longitudinally and circumferentially…bone will “smooth”

Question 4

Ponseti Clubfoot Method

Answer 4

Know from the pathology lectures…but the achilles can be completely cut
* will reattach and grow strong again

Question 5

Impact of pediatric bones being “softer”

Answer 5

Increased chance of buckle fractures

Question 6

Growth Plates

Answer 6

• Normal space at ends of long bones
• Common to see Fxs here

Question 7

Ox management for Ped. Fxs - Common Fx locations

Answer 7

• Distal Radius (buckle through growth plate)
• Nondisplaced Humeral shaft fxs
• “Toddlers” Fx - distal tibia; MOI - twisting; child will refuse to put weight on leg
• Ankle Inversion GP Fxs
• Base of Fifth
• Femur
• Spondy - (both types)
• Medial Epicondyle Fx - throwing curveballs to early