Term
| What are the TWO main differences in Pediatric bone? |
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Definition
| periosteum and growth plates. |
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Term
| In kids, which is stronger, ligaments or bone? Why is this important? |
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Definition
| Ligaments are stronger. Sprains are not as likely as fractures |
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Term
| What term is described as thick, fibrous tissue that conducts nutrients to the growing bone? |
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Definition
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Term
| How does the difference in a Pediatric's periosteum from an adult's affect fractures and their healing? |
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Definition
Contributes greatly to stability and aids in reduction/fracture control
Nutrient supply leads to rapid callous formation and low nonunion rate |
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Term
| What classification system is used to grade injuries at or through the growth plate? |
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Definition
| SALTER-Harris Clasification |
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Term
| What is important to note about growth plate ossification? Why is this important? |
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Definition
Individual growth plates ossify at different ages BUT always in the same order!
Why Important? If a growth plate appears open out of order, suspect fracture! |
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Term
| In a child with joint pain, but a normal x-ray, what should you suspect? |
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Definition
| SH Type 1 until proven otherwise |
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Term
| Which SH fracture is described as seperation of epi and meta plates? |
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Definition
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Term
| Which SH fracture is described as fracture through plate and exit meta? |
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Definition
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Term
| Which SH fracture is described as fracture through plate and exits epi? |
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Definition
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Term
| Which SH fracture is described as fracture though epi and meta plates? |
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Definition
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Term
| Which type of SH fracture is described as Compression of plate? |
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Definition
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Term
| Which type of SH fracture is Most serious due to its propensity to lead to growth arrest? |
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Definition
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Term
| Which type of SH may NOT show on an x-ray? |
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Definition
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Term
| Which type of ped fracture is described as a compression fracture? |
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Definition
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Term
| Which type of fracture is described as one intact cortex? |
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Definition
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Term
| Whch type of ped fracture is described as a slight force, causing no fracture but can lead to problems with supination and pronation if not fixed? |
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Definition
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Term
| Which type of ped fracture is described as ligaments being stronger than bone and causes a fracture? |
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Definition
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Term
| If a pt presents with pain in hip, limping with weight bearing (or refusal to walk), a history of URI or other viral arthritis, but on joint aspiration the fluid show NO WBC increase and neg cultures, what condition should you suspect? |
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Definition
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Term
| What condition should you r/o before a dx of Transient Synovitis is made? What are the key differences? |
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Definition
Must r/o septic arthritis
Transient Synovitis will have none of the septic symptoms - fever, pallor, etc (Look normal, but cannot bear weight) |
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Term
| What is the treatment for Transient Senovitis? |
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Definition
| Usually self-limiting, 3 - 7 days |
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Term
| Which ped condition is described as Idiopathic osteonecrosis of capital femoral epiphysis? |
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Definition
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Term
| What complication can arise from Legg-Calve-Perthes? |
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Definition
| Leads to misshapen femoral head |
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Term
| In which types of pts would you see Legg-Calve-Perthes? |
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Definition
| Males (4 - 10y/o) who are often small for their age |
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Term
| What are the tx options for Legg-Calve-Perthes? |
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Definition
Casting (ABduction position -for 6, 8 or 12 weeks)
Surgery |
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Term
| What condition is described as Displacement of the femoral head? |
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Definition
| SCFE - Slipped Capital Femoral Head |
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Term
| What is the "classic" picture of SCFE? |
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Definition
| AA obese female between the age of 11 - 13 (presents unilateral initially with other side occurring later) |
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Term
| What is the treatment for a SCFE? |
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Definition
| Surgical Repair - Fixation |
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Term
| What is the MC complaint with a SCFE? |
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Definition
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Term
| Which condition is described as Fragmentation of tibial tubercle that Leads to prominence and painful bursa? |
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Definition
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Term
| What are the treatments for Osgood-Schlatter? |
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Definition
1st Line - RICE and NSAIDs
2nd Line - Removal of the bursa |
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Term
| If a pt presents with knee pain with forceful extension (going up steps, jumping etc.) and has point tenderness under the patella, but has no change in their ROM, what condition should you suspect? |
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Definition
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Term
| What is the main complaint on presentation with Nursemaids elbow? |
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Definition
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Term
| Does Nursemaid's elbow show on the x-ray? |
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Definition
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Term
| How should Nursemaid's elbow be reduced? |
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Definition
| Reduced by flex/sup of elbow |
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Term
| What is the "classic" sign of a pediatric ACL tear? What imaging is best for this diagnosis? |
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Definition
| Tibial Eminence Fracture; Lateral x-ray best, PA view may not show anything |
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Term
| What should you suspect with long bone fractures? Which type of fracture is most suspect? |
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Definition
SUSPECT ABUSE, until proven otherwise
Transverse Type of fracture |
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Term
| What are some signs of abuse? |
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Definition
Multiple Fractures in various stages of healing
Multiple Bruises in various stages of healing
Stories that DON'T Match
Multiple Reoccurring Injuries |
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