Orthopaedic Implants in Children: Pins, Frames and Aftercare — Board-Style Questions

What this deck covers

Orthopaedic Implants in Children: Pins, Frames and Aftercare 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. A little red at the edge
2. Pus at one site
3. No wound yet
4. Does it have to come out
5. Is the metal a problem
6. When should we ring
7. One pin moves
8. Does that matter at five
9. It was done under vision
10. She will not move the foot
11. Leaking at day five
12. Fever on day three
13. Without taking it off
14. Just taking it out
15. Sore when she leans on it
16. Can he swim
17. Still not walking
18. What do I need to know

Diagnoses and management options tested

Across the 18 cases you are asked to choose between options such as: As a reaction to the dressing, Any redness at a pin site, It fixes the fracture more securely, A regional block given during surgery, As a reaction to the implanted metal, Infection around the wire, That it will set off some security scanners.

Clinical pearls from this deck

• Know what a normal pin site looks like, or you will treat every one of them.
• A pin site infection is treated. The wire usually stays.
• A tenting wire is a wound that has not happened yet.
• Ask what the metal is doing wrong before you plan to take it out.
• The operation note is the answer to the scanner’s question.
• Send a family home with a list, not an instruction to worry.

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.