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4 Cards in this Set
- Front
- Back
What are the pediatric musculoskeletal differences?
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- Children have more cartilage compared to teens & adults
- Children's bones have a thicker periosteum (outer level) and are much more flexible (greenstick fractures)...can bend 45 deg. before breaking - most common fracture site in children clavicle r/t force/falls - fractures heal more rapidly d/t generous blood supply and increased bone growth - fractures are often at the growth platy (epiphysis) which may cause growth retardation because the bone stops growing - spiral fractures at any age and fracture in children <1 year red red flag for abuse - aside from fractures from mva or falls, fractures in infants warrant investigation - some congenital disorders can be cured due to their growth and flexibility (i.e. clubfoot with serial casting) - cast care is difficult with children because active, not careful, poke things down cast, not in tune to smells/pain/tightness - immobilization can be difficult in children who have such high energy levels - skeletal maturity reached around 17 years for boys, 2 years after menarch for girls |
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What is the most common type of fracture in kids?
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epiphyseal fractures
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5 P's of assessment?
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- pain
- pallor (2-3 sec. normal) - pulselessness - paresthesia - paralysis |
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What can S/S of fractures be confused with? How to distinguish?
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S/S of strain, sprain, dislocation...get X-RAY!
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