Paediatric Minor Trauma

1. Paediatric Minor
TraumaA game of spot the fracture

2. Kids break bones
It probably isn’t just a sprain

3. Kids bones are different
• Bones are relatively weak, ligaments are strong
• Easy to break
• Easy to avulse
• Growth plates not yet fused

4. Different Types & Patterns
• Avulsions
• Greenstick
• Buckle/Torus
• Salter Harris
• I to V
• NAI

5. Beware of
• Abrupt angles
• Blips, bumps in bones
• Small fragments
• Glancing over growth plates

43. Take home points
• Start with the premise “it is probably broken”
• Know your injury patterns
• Avulsions
• Salter Harris
• Greenstick and buckle
• Suspect NAI if
• Non-ambulant and fracture
• Suspicious type of fracture