NUR-529 Musculoskeletal Issues Questions and
correct Answers 100% | A+ Graded
Anatomy of growing: describe the physes, epiphyses, metaphysics, diaphysis - CORRECT
ANSWER -PHYSES
-AKA Epiphyseal
plate
or growth plate
-Site of linear
growth in the long
bones
-Contributes to the
longitudinal growth
of the individual
bone through a
process called
endochondral
ossification
-Least resistant to
tensile and shear
forces
___________________________
EPIPHYSES
-End of the long
,bones
-Covered by
articular cartilage
and form the
associated joints
-initially almost
entirely
cartilaginous and
become
progressively more
ossified during
growth
-bears majority of
attachments of
ligaments
___________________________
METAPHYSIS
-new bone
-undergoing
remodeling
-cortex is thin; less
resistant to
compressive and
bending forces
,_____________________________
DIAPHYSIS
-central mature area
of bone
-obtained maximum
strength
-most resistant to
stress
What is the Salter-harris classification? - CORRECT ANSWER -A classification used to determine
epiphyseal fractures (growth plate) in pediatric patients
We classify fractures different in kids than in adults
Using the Salter-Harris Classification of Epiphyseal Fractures--classify the various growth plate
fractures (1-5) - CORRECT ANSWER -I - Epiphyseal plate
"straight across)
II - Epiphyseal plate and metaphysis
"above"
III - Epiphyseal plate and epiphysis
"lower or beLow"
IV - Epiphysis, epiphyseal plate, and metaphysis
"two or through"
, V - Crush injury to epiphyseal plate
"cRush"
Fractures in the growth plate can really impact growth
Management of Salter-Harris (SH) Epiphyseal Fractures by classification - CORRECT ANSWER -SH
type I and II
-Usually can be managed by closed reduction techniques and do not require perfect alignment;
tend to remodel with growth
__________________________
SH type III and IV
-Involve articular surface and require anatomic alignment to realign the growth cells of the
physis
_____________________________
SH type V
-Usually not diagnosed initially and present with growth disturbances; require extensive therapy
Risk factors for injuries - CORRECT ANSWER -1) Overload/overuse injuries
-VERY common in
pediatrics
-growing bone has
looser periosteum
and tendinous
correct Answers 100% | A+ Graded
Anatomy of growing: describe the physes, epiphyses, metaphysics, diaphysis - CORRECT
ANSWER -PHYSES
-AKA Epiphyseal
plate
or growth plate
-Site of linear
growth in the long
bones
-Contributes to the
longitudinal growth
of the individual
bone through a
process called
endochondral
ossification
-Least resistant to
tensile and shear
forces
___________________________
EPIPHYSES
-End of the long
,bones
-Covered by
articular cartilage
and form the
associated joints
-initially almost
entirely
cartilaginous and
become
progressively more
ossified during
growth
-bears majority of
attachments of
ligaments
___________________________
METAPHYSIS
-new bone
-undergoing
remodeling
-cortex is thin; less
resistant to
compressive and
bending forces
,_____________________________
DIAPHYSIS
-central mature area
of bone
-obtained maximum
strength
-most resistant to
stress
What is the Salter-harris classification? - CORRECT ANSWER -A classification used to determine
epiphyseal fractures (growth plate) in pediatric patients
We classify fractures different in kids than in adults
Using the Salter-Harris Classification of Epiphyseal Fractures--classify the various growth plate
fractures (1-5) - CORRECT ANSWER -I - Epiphyseal plate
"straight across)
II - Epiphyseal plate and metaphysis
"above"
III - Epiphyseal plate and epiphysis
"lower or beLow"
IV - Epiphysis, epiphyseal plate, and metaphysis
"two or through"
, V - Crush injury to epiphyseal plate
"cRush"
Fractures in the growth plate can really impact growth
Management of Salter-Harris (SH) Epiphyseal Fractures by classification - CORRECT ANSWER -SH
type I and II
-Usually can be managed by closed reduction techniques and do not require perfect alignment;
tend to remodel with growth
__________________________
SH type III and IV
-Involve articular surface and require anatomic alignment to realign the growth cells of the
physis
_____________________________
SH type V
-Usually not diagnosed initially and present with growth disturbances; require extensive therapy
Risk factors for injuries - CORRECT ANSWER -1) Overload/overuse injuries
-VERY common in
pediatrics
-growing bone has
looser periosteum
and tendinous
