paediatric

Monteggia

Paediatric Monteggia APPaediatric Monteggia Lateral

 

Definition

 

Fracture / plastic malformation of proximal ulna with dislocation of radial head

 

Xray

 

Radio-capitellar line disrupted

 

Femoral Fractures

Aetiology

Paediatric femoral fracture

 

Varies per age group

 

Trauma

- 60%

 

Non Accidental Injury

- 15 - 30%

- suspect if non walker / < 1 year

- walking status single best indicator of risk

- paediatric team to investigate

- history taking from parent

- consider metabolic investigations

 

Metastasis

DDx

 

Leukemia 

Neuroblastoma 

Wilm's    

 

Last two usually occur in < 5 year age group

 

Bone scan is method of choice for screening for metastasis

 

Leukemia

 

Epidemiology

 

Most common form of cancer in children 30%

- ALL 5 x AML

- 3 : 100 000