Growth plate fractures MCQs

By: Prof. Dr. Fazal Rehman Shamil | Last updated: September 28, 2024

What is the primary concern with growth plate fractures in children?
A) Infection
B) Long-term growth impairment
C) Pain management
D) Immediate surgical intervention
Answer: B) Long-term growth impairment

Which classification system is commonly used for growth plate fractures?
A) Gustilo-Anderson
B) Salter-Harris
C) Neer
D) AO classification
Answer: B) Salter-Harris

What does the Salter-Harris Type I fracture involve?
A) Fracture through the growth plate only
B) Fracture through the growth plate and metaphysis
C) Fracture through the growth plate and epiphysis
D) Fracture through the metaphysis only
Answer: A) Fracture through the growth plate only

In a Salter-Harris Type II fracture, which part of the bone is involved?
A) Epiphysis only
B) Growth plate and metaphysis
C) Metaphysis only
D) Growth plate and epiphysis
Answer: B) Growth plate and metaphysis

What is the characteristic feature of a Salter-Harris Type III fracture?
A) Fracture through the epiphysis and growth plate
B) Fracture through the metaphysis and growth plate
C) Fracture only in the epiphysis
D) Fracture only in the metaphysis
Answer: A) Fracture through the epiphysis and growth plate

Which type of Salter-Harris fracture is associated with the highest risk of growth disturbances?
A) Type I
B) Type II
C) Type III
D) Type IV
Answer: D) Type IV

What is a common symptom of growth plate fractures in children?
A) Swelling and tenderness
B) Numbness
C) Severe deformity
D) Skin discoloration
Answer: A) Swelling and tenderness

Which imaging modality is preferred for diagnosing growth plate fractures?
A) MRI
B) X-ray
C) CT scan
D) Ultrasound
Answer: B) X-ray

What is the typical treatment approach for a Salter-Harris Type I fracture?
A) Immediate surgery
B) Casting or splinting
C) Physical therapy
D) Observation only
Answer: B) Casting or splinting

What is the expected healing time for a typical growth plate fracture?
A) 1-2 weeks
B) 3-4 weeks
C) 6-8 weeks
D) 10-12 weeks
Answer: C) 6-8 weeks

What is the most common location for growth plate fractures?
A) Distal radius
B) Proximal femur
C) Distal tibia
D) Proximal humerus
Answer: C) Distal tibia

What should be monitored in a child after a growth plate fracture?
A) Nutritional status
B) Range of motion
C) Growth and development
D) All of the above
Answer: C) Growth and development

Which age group is at the highest risk for growth plate fractures?
A) Infants
B) Toddlers
C) Adolescents
D) Elderly
Answer: C) Adolescents

What is a potential complication of untreated growth plate fractures?
A) Avascular necrosis
B) Osteoarthritis
C) Nonunion
D) All of the above
Answer: D) All of the above

How can growth plate fractures affect future growth?
A) No effect on growth
B) Cause overgrowth of the bone
C) Cause undergrowth or deformities
D) Only affect the growth of nearby bones
Answer: C) Cause undergrowth or deformities

What is the primary mechanism of injury for growth plate fractures?
A) High-energy trauma
B) Low-energy trauma
C) Repetitive stress
D) Pathological conditions
Answer: A) High-energy trauma

What is an important consideration when treating growth plate fractures in children?
A) The age of the child
B) The type of fracture
C) Potential for future growth
D) All of the above
Answer: D) All of the above

What is the typical presentation of a growth plate fracture?
A) Pain and limited movement
B) Severe deformity
C) Warmth and redness
D) All of the above
Answer: A) Pain and limited movement

Which of the following is NOT a Salter-Harris classification type?
A) Type V
B) Type VI
C) Type IV
D) Type III
Answer: B) Type VI

What is the treatment for a Salter-Harris Type II fracture?
A) Non-surgical management
B) Open reduction and internal fixation
C) Observation
D) Corticosteroid injection
Answer: A) Non-surgical management

In which type of Salter-Harris fracture does the growth plate remain intact?
A) Type I
B) Type II
C) Type III
D) Type IV
Answer: A) Type I

What is the most common complication following a Salter-Harris Type III fracture?
A) Malunion
B) Growth arrest
C) Nonunion
D) Infection
Answer: B) Growth arrest

What role does age play in the healing of growth plate fractures?
A) Older children heal faster
B) Younger children heal faster
C) Age does not affect healing
D) All ages heal at the same rate
Answer: B) Younger children heal faster

What is an important follow-up measure after a growth plate fracture?
A) Regular imaging studies
B) Monitoring physical activity
C) Assessing psychological well-being
D) All of the above
Answer: A) Regular imaging studies

What is a potential consequence of a growth plate fracture in the wrist?
A) Increased wrist flexibility
B) Wrist stiffness
C) Improved range of motion
D) None of the above
Answer: B) Wrist stiffness

Which of the following is a common sign of a growth plate fracture?
A) Discoloration
B) Decreased range of motion
C) Inability to bear weight
D) All of the above
Answer: D) All of the above

What factor is most important in the prognosis of growth plate fractures?
A) Type of fracture
B) Location of the fracture
C) Child’s age
D) All of the above
Answer: D) All of the above

Which condition is characterized by a growth plate injury due to repetitive stress?
A) Acute fracture
B) Stress fracture
C) Pathologic fracture
D) Greenstick fracture
Answer: B) Stress fracture

What is a common surgical intervention for severe growth plate fractures?
A) Arthroscopy
B) Internal fixation
C) External fixation
D) Both B and C
Answer: D) Both B and C

Which type of growth plate fracture is least likely to affect future growth?
A) Type I
B) Type II
C) Type III
D) Type IV
Answer: A) Type I

What is the recommended management for a closed growth plate fracture?
A) Immediate surgical intervention
B) Conservative management with immobilization
C) Continuous monitoring
D) Pain medication only
Answer: B) Conservative management with immobilization

In the context of growth plate fractures, what does “union” refer to?
A) Complete healing of the fracture
B) Alignment of the fracture
C) Stability of the joint
D) Normal growth of adjacent bones
Answer: A) Complete healing of the fracture

What is the impact of early intervention on growth plate fractures?
A) Increased risk of complications
B) Improved healing outcomes
C) No significant effect
D) Delayed healing
Answer: B) Improved healing outcomes

What is a common method to assess healing in growth plate fractures?
A) Physical examination only
B) Serial X-rays
C) MRI
D) Blood tests
Answer: B) Serial X-rays

Which of the following is a long-term effect of a growth plate fracture?
A) Increased height
B) Joint stiffness
C) Improved function
D) Decreased pain
Answer: B) Joint stiffness

What is a risk factor for growth plate fractures in sports?
A) Inadequate training
B) Poor nutrition
C) Lack of proper equipment
D) All of the above
Answer: D) All of the above

Which type of growth plate fracture is considered intra-articular?
A) Salter-Harris Type I
B) Salter-Harris Type II
C) Salter-Harris Type III
D) Salter-Harris Type IV
Answer: C) Salter-Harris Type III

What is the primary goal in managing growth plate fractures?
A) Alleviate pain
B) Restore function and alignment
C) Prevent infection
D) Minimize hospital stays
Answer: B) Restore function and alignment

What is the most common complication of growth plate fractures?
A) Avascular necrosis
B) Nonunion
C) Growth arrest
D) Infection
Answer: C) Growth arrest

 

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