RAD-PED Flashcards

1
Q

What is a Salter Harris Fracture 1?

A

Growth plate FX/epiphyseal plate w/ or w/o displaces epiphysis end of bone. lucent space btwn epiphyseal and metaphysis

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2
Q

What is a Salter Harris Fracture 2?

A

MC-FX through plate and metaphysis/shaft-

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3
Q

What is a Salter Harris Fracture 3?

A

FX through plane and epiphysis

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4
Q

What is a Salter Harris Fracture 4?

A

FX all three

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5
Q

What is a Salter Harris Fracture 5?

A

impacted fX all part of epiphyseal plate. HARD to see plain film

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6
Q

What is a Tillaux FX of the Ankle?

A

S3 epiphyseal plate FX on distal lateral Tibia

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7
Q

What is 1st to calcify in children?

A

Capitate and hamate

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8
Q

What direction and order do carpals ossify?

A

1 carpal/yr and COUNTERCLOCKWISE in anatomy. CLOCKWISE-for yrs in age

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9
Q

What is the last ossified carpal and how old?

A

Pisiform 12yo

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10
Q

If you see the Capitellum how old is the child?

A

1-8mo CRITOE ODDS

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11
Q

If you see the Radial head how old is the child?

A

3-6yo

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12
Q

If you see the Internal/Medial epicondyle how old is the child?

A

3-7yo

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13
Q

If you see the Trochlea how old is the child?

A

7-10yo

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14
Q

If you see the Olecranon how old is the child?

A

8-10y

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15
Q

If you see the External/lat epicondyle how old is the child?

A

11-12yo

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16
Q

When do medial epicondyle fuses?

A

15-18yo

17
Q

When do growth plates close?

A

14-17y

18
Q

What are the common type of FX in Kids?

A

Greenstick and Torus- bulge impaction

19
Q

What is seen at tibial tuberosity that is painful in young children?

A

Micro avulsion at patella tendon insertion- 10-12yo. Also at calcaneus and navicular

20
Q

What are the DDX for a limping child?

A
  1. Slipped Capital Femoral Epiphysis 2. Legg Calve Perthes DZ 3. Juvenile Arthritis 4. Septic JT
21
Q

What is a Salter Harris Type I with risk of AVN, seen in obese children 10-15 yo c/o hip and knee pain?

A

Slipped Capital Femoral Epiphysis- displaced epiphyseal plate. ATRAUMATIC

22
Q

What is irregular flat and sclerotic seen in hip MC Boys age 4-9?

A

Legg Calve Perthes DZ: limp, hipping, often knee pain. Tell parents don’t ignore growing pains