Paediatric Fractures: Remodelling and Management — Board-Style Questions

What this deck covers

The Child’s Fracture: What Remodels, and What Will Not in 18 board-style clinical cases with worked explanations. Each case gives you a clinical vignette, four options, the correct answer, and an explanation of why each of the other three is wrong, with the guideline or textbook it follows named on the answer.

Board-style teaching questions for paediatricians and trainees preparing for paediatric board, MRCPCH and licensing examinations. Written from published guidelines and standard paediatric textbooks, with the source named on every answer.

The 18 cases, in order

1. Will it end up straight
2. A colleague says accept it
3. Three years old and fourteen
4. Nothing on either view
5. Across the plate and beyond
6. Is that the end of it
7. A full cast is being prepared
8. No line, but two shadows
9. A first aider reaches in
10. Then he writes the notes
11. Include the ankle and the knee
12. Hold him still, she is told
13. Curved, with nothing to see
14. Back so soon for a film
15. Matches again this weekend
16. Anything to do overnight
17. Hard to follow on two views
18. Four years after the ankle

Diagnoses and management options tested

Across the 18 cases you are asked to choose between options such as: Consent for the sedation, To confirm that the bone has fully united, A fixed interval of six months from the injury, Repeat films in a different projection, Overgrowth of the uninjured leg.

Clinical pearls from this deck

• Angulation in the plane of movement remodels. That is the one that forgives.
• Rotation never remodels. Angulation often does.
• Remodelling is growth. Count the years left, not the centimetres.
• A child sprains less readily than the growth plate separates. Treat the tenderness.
• A line through the plate and into the joint risks growth and surface at once.
• A tethered growth plate hurts nobody. That is exactly why it is looked for.

Work through the deck once for recognition, then again a week later to test yourself — each question gives the answer and explains why every other option fails.

More from this system: all MSK and orthopaedics case decks · pediatric reference values.