Paediatric Fractures

• Q1.A 4 years old child suffered from a fall on outstretched hand. X rays revealed a fracture with the fracture line at the physes with a small metaphyseal fragment. There was no epiphyseal fracture. What type of injury by Salter harris Classification is this?

  • AI
  • BII
  • CIII
  • DIV
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• Q2.A 4-year-old girl sustained an isolated, closed, diaphyseal fracture of her left femur in a motor vehicle accident. The fracture was transverse with approximately 1.5 cm of shortening. The most appropriate definitive management of this fracture is

  • ASkeletal traction
  • BImmediate application of a hip spica cast
  • CSkeletal traction for 2 weeks followed by application of a hip spica cast
  • DExternal skeletal fixation
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• Q3.A 6-year-old child is suspected with supracondylar fracture of right hand, complaining of pain and swelling. X-ray of right elbow was not significant. What is the next best step in this case?

  • ACompare with X-ray of left hand
  • BClosed reduction and slab
  • CClosed reduction with K wire fixation
  • DCast
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• Q4.Treatment of choice for fracture shaft femur in a child less than 2 years of age

  • AGallow's traction
  • BHip spica
  • CRussel traction
  • DIntramedullary nail
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• Q5.X-ray of a child's arm after a fall appears to show a fracture near, but not at, distal end of the ulna. Before diagnosing a fracture, you should also consider the possibility that this is actually which of the following?

  • AArticular cartilage
  • BEpiphyseal plate
  • CPerichondrium
  • DPrimary ossification center
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• Q6.Commonest fracture in childhood is

  • AFemur
  • BClavicle
  • CDistal humerus
  • DRadius
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• Q7.All of the following are complications of supracondylar fracture of humerus in children,except -

  • ACompartment syndrome
  • BMyositis ossificans
  • CMalunion
  • DNon-Union
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• Q8.Fish tail deformity in a child is seen after injury to?

  • ADistal Tibia
  • BDistal Femur
  • CDistal humerus
  • DDistal Radius
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• Q9.Type VI Rang's injury indudes -

  • ATransverse fracture of metaphysis with longitudinal extension into physis
  • BOpen injury with loss of physis
  • CThurston Holland's sign
  • DPerichondrial ring injury
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• Q10.Thurston Holland sign is seen in:

  • AType I
  • BType II
  • CTypes III
  • DType IV
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Answer key

Q1: B. II; Q2: B. Immediate application of a hip spica cast; Q3: A. Compare with X-ray of left hand; Q4: A. Gallow's traction; Q5: B. Epiphyseal plate; Q6: D. Radius; Q7: D. Non-Union; Q8: C. Distal humerus; Q9: D. Perichondrial ring injury; Q10: B. Type II.

Other topics in Orthopaedics

• Fracture Healing and Principles of Management
• Fracture Complications
• Disorders of the Cervical Region
• Clavicle, Shoulder and Arm Trauma
• Elbow and Forearm Trauma
• Hand Trauma
• Non-Traumatic Upper Limb Disorders
• Hip Dislocation
• Femoral Fractures
• Knee, Leg and Foot Trauma
• AVN and Other Lower Limb Regional Disorders
• Spinal Trauma
• Non-Traumatic Spinal Disorders
• Spondylolisthesis and IVDP
• Pelvic Trauma
• Pyogenic Bone and Joint Infection
• Tuberculosis of Bones and Joints
• CTEV and Angular Knee Deformities
• Congenital Anomalies, Perthes Disease and SCFE
• Rickets and Childhood Metabolic Bone Disease
• Osteoporosis and Adult Osteomalacia
• Paget's Disease and Parathyroid Bone Disease
• Degenerative and Rheumatoid Joint Disease
• Seronegative Spondyloarthritis and Crystal Arthropathy
• Nerve Injuries
• Benign Bone Tumours
• Malignant Bone Tumours
• Implants, Splints and Traction Devices
• Amputation, Prosthetics and Joint Replacement
• Sports Injury