5: Children's fractures Flashcards Preview

MSK > 5: Children's fractures > Flashcards

Flashcards in 5: Children's fractures Deck (13)
Loading flashcards...
1

Most children's fractures tend to involve the (upper / lower) limb.

upper limb

2

Why do children have unique fracture patterns?

Different composition of bone

stretchier, thicker periosteum

3

What is a Greenstick fracture?

Cortical fracture on the outside, compression stretch on the inside

4

What is a buckle / Torus fracture?

Bulging of bone due to plastic deformation

5

In general, children's bones tend to ___ rather than break.

bend

6

What are commonly mistaken for fractures on X-rays of kiddos bones?

Epiphyseal growth plates

7

What is Wolff's law?

Calcium is laid down in areas of stress

i.e bone which isn't stressed won't be strong

8

Children have better ___ potential than adults.

This means that poorly ___ fractures often still repair themselves.

remodelling

poorly reduced

9

must ask all about mechanism of injury, how high, how fast!

10

What is an NAI?

Non-accidental injury

11

What aspects of a history suggest towards an NAI?

History doesn't match nature/severity of injury

Vague/changing parental account

"He/she injured himself"

Delay in seeking help

12

elbow joint damaged vessels 

 

anteriorly - brachial artery, median nerve

posteriorly - ulnar nerve (funny bone)

13

why do diaphyseal fractures have to be immobilised above and below? 

what needs to be immobilised in metaphyseal fractures? 

to prevent rotation 

only nearest joint