Orthopaedics & Trauma

20 learning units • 100 chapter sections • 200 explained questions. Assess musculoskeletal disease and injury, recognise limb-threatening emergencies and plan treatment, rehabilitation and prevention.

Original RAHBAR study material for the Year 5 learning pathway. Clinical cases support supervised undergraduate learning. Treatment choices, doses and procedures must follow current local protocols and the responsible clinical team. References & further reading ↓

MODULE 12 / 20

Paediatric Fractures & the Limping Child

Account for growth plates, developmental stage and childhood musculoskeletal emergencies.

Choose an answer and check it immediately. Change your choice to try again. This is a self-study exercise; results are not saved.

Question 01. What is distinctive about growing bone injury? A. All adult rules apply unchangedB. Remodelling is unlimitedC. Growth plates and incomplete fracture patterns matterD. Growth can never be affected

Question 02. Does every childhood angular or rotational deformity remodel fully? A. NoB. YesC. Only if immobilised brieflyD. Only if pain settles

Question 03. Why follow selected physeal injuries after initial healing? A. Every child needs no further reviewB. Growth disturbance may developC. Radiographic healing proves normal future growthD. Follow-up only checks skin colour

Question 04. Can growth-plate injury be subtle on initial imaging? A. NoB. Only after surgeryC. YesD. Only if the child is pain-free

Question 05. A poorly perfused hand after a supracondylar injury requires what? A. Routine sling advice onlyB. Emergency specialist assessmentC. Review after several weeksD. Reassurance if pain improves

Question 06. Is a warm but pulseless hand after this injury suitable for routine discharge without specialist assessment? A. YesB. Only if fingers moveC. Only if the skin is intactD. No

Question 07. Which diagnosis is an emergency in a limping febrile child with restricted joint movement? A. Uncomplicated growing painsB. Septic arthritisC. Stable flat feetD. Mild painless hypermobility

Question 08. Why examine the hip in unexplained childhood knee pain? A. Knee pain always excludes hip diseaseB. It replaces knee examinationC. Hip examination is only for adultsD. Hip pathology can refer pain to the knee

Question 09. What is appropriate for suspected slipped upper femoral epiphysis? A. Repeated forced hip movementB. Non-weight-bearing and urgent orthopaedic reviewC. Unrestricted runningD. Routine review only after growth ends

Question 10. An injury incompatible with developmental ability should prompt what? A. Automatic dismissalB. Immediate unsupported accusationC. No history reviewD. Medical and safeguarding assessment with factual records

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References & Further Reading

Read the relevant guideline sections alongside these original clinical teaching cases. Local pathways, available services and individual patient factors determine care.

Reference review: 28 September 2026. Consult current local protocols for prescribing, procedures and escalation.