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Pediatric Fracture

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Pediatric Fractures

Fractures Peculiar to Children

A. Torus or buckling
B. Greenstick
C. Bowing
D. Epiphyseal

Often only incomplete


fracture line is seen
Fractures Peculiar to Children
A B C D
Torus Fracture Radius
Torus Fracture Radius
Bowing
Fracture
• Bowing
fracture of
right fibula
• Buckle
fracture of
right tibia
• Normal left
for
comparison
Greenstick
Fracture Radius
• Dorsal cortex remains
intact
• Ventral cortex is
disrupted
• Angulation is ventral
Salter-Harris Fractures
1. Epiphyseal separation
2. Fragment from metaphysis with displacement of
epiphysis
3. Fragment runs vertically through the epiphysis
and the growth plate
Normal
4. Vertical fracture through the epiphysis, growth
plate and metaphysis
5. Crushing injury to epiphysis and plate

2 3
1 4 5
Salter 2 Fracture Proximal Phalanx

• Early callus
• Slight displacement
Salter 3 Fracture Lateral Tibia

• Acute injury
• No apparent
displacement
Toddler refuses to walk
Toddler’s fracture with early
healing
Elbow pain

Supracondylar
Fracture
Classic Supracondylar Fracture

Anterior/ Posterior Fat Pad


Supracondylar fracture
Lesser trochanter avulsion
iliopsoas insertion
Chronic Hip Pain
SCFE
Slipped capital femoral
epiphysis
Bilateral SCFE

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