Most children's fractures tend to involve the (upper / lower) limb.
Why do children have unique fracture patterns?
Different composition of bone
stretchier, thicker periosteum
What is a Greenstick fracture?
Cortical fracture on the outside, compression stretch on the inside
What is a buckle / Torus fracture?
Bulging of bone due to plastic deformation
In general, children's bones tend to ___ rather than break.
What are commonly mistaken for fractures on X-rays of kiddos bones?
Epiphyseal growth plates
What is Wolff's law?
Calcium is laid down in areas of stress
i.e bone which isn't stressed won't be strong
Children have better ___ potential than adults.
This means that poorly ___ fractures often still repair themselves.
must ask all about mechanism of injury, how high, how fast!
What is an NAI?
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
elbow joint damaged vessels
anteriorly - brachial artery, median nerve
posteriorly - ulnar nerve (funny bone)
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