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Pediatric Fractures

Pediatric Fractures. Fractures Peculiar to Children. Torus or buckling Greenstick Bowing Epiphyseal Often only incomplete fracture line is seen. Fractures Peculiar to Children. D. A. B. C. Torus Fracture Radius. Torus Fracture Radius. Bowing Fracture. Bowing fracture of right fibula

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Pediatric Fractures

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  1. Pediatric Fractures

  2. Fractures Peculiar to Children • Torus or buckling • Greenstick • Bowing • Epiphyseal Often only incomplete fracture line is seen

  3. Fractures Peculiar to Children D A B C

  4. Torus Fracture Radius

  5. Torus Fracture Radius

  6. Bowing Fracture • Bowing fracture of right fibula • Buckle fracture of right tibia • Normal left for comparison

  7. Greenstick Fracture Radius • Dorsal cortex remains intact • Ventral cortex is disrupted • Angulation is ventral

  8. Salter-Harris Fractures • Epiphyseal separation • Fragment from metaphysis with displacement of epiphysis • Fragment runs vertically through the epiphysis and the growth plate • Vertical fracture through the epiphysis, growth plate and metaphysis • Crushing injury to epiphysis and plate Normal 3 2 1 4 5

  9. Salter 2 Fracture Proximal Phalanx • Early callus • Slight displacement

  10. Salter 3 Fracture Lateral Tibia • Acute injury • No apparent displacement

  11. Toddler refuses to walk

  12. Toddler’s fracture with early healing

  13. Elbow pain Supracondylar Fracture

  14. Classic Supracondylar Fracture Anterior/ Posterior Fat Pad Supracondylar fracture

  15. Lesser trochanter avulsioniliopsoas insertion

  16. Chronic Hip Pain

  17. SCFE Slipped capital femoral epiphysis

  18. Bilateral SCFE

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