Bone Healing
Why do children's bones heal faster than adults?
Thick periosteum and generous blood supply.
What type of fracture in infants may indicate abuse?
Spiral fracture.
What are the Ortolani and Barlow tests used to diagnose?
Developmental Dysplasia of the Hip (DDH).
At what degree of curvature is surgery recommended for scoliosis?
Greater than 45 degrees.
What are the 6 P’s used to assess fractures?
Pain, Pulselessness, Pallor, Paresthesia, Paralysis, Pressure.
How long does it take for a femoral shaft fracture to heal in neonates?
2 to 3 weeks.
What is the weakest part of a child's bone?
The growth plate.
What device is used to treat DDH in infants?
Pavlik harness.
What is the goal of bracing in scoliosis treatment?
To slow progression of curvature.
What is the primary treatment for osteomyelitis?
IV antibiotics followed by oral antibiotics.
At what age do long bones stop growing?
Around age 20.
What is the primary treatment for fractures to allow healing?
Immobilization.
What is the common treatment for clubfoot?
Serial casting for 6–10 weeks.
What is the most common brace used for scoliosis?
TLSO brace.
What is a key symptom of Juvenile Idiopathic Arthritis?
Morning stiffness of joints.
You have an infant with a broken femur. What concerns do you have?
Possible abuse situation, investigate further.
Why do you assess circulation, CRT, color, movement, and temperature on an extremity with a cast?
Preventing complications, ie: compartment syndrome.
What is the purpose of the Pavlik harness in treating DDH?
To maintain the hip in flexion and abduction to allow proper joint development.
How do you move a child after scoliosis repair?
Log roll, as one unit.
To maintain the hip in flexion and abduction to allow proper joint development.
To reduce muscle spasms, immobilize the limb, and maintain alignment before surgery or casting—commonly used for lower extremity fractures like femur or hip.