QUESTIONS 1 of 5 1 2 3 4 5 Previous Next (OBQ18.77) An 8-year-old patient presents with the injury depicted in Figures A and B while playing football. What has been associated with the greatest risk of premature physeal closure? QID: 212973 FIGURES: A B Type & Select Correct Answer 1 Amount of initial fracture displacement 39% (778/2005) 2 Number of reduction attempts 22% (444/2005) 3 Injury mechanism involving football 1% (21/2005) 4 Residual gap after closed reduction 34% (690/2005) 5 Treatment with open reduction and internal fixation 3% (60/2005) L 5 Question Complexity B Question Importance Select Answer to see Preferred Response SUBMIT RESPONSE 4 Review Tested Concept Review Full Topic Sorry, this question is for PEAK Premium Subscribers only Upgrade to PEAK Sorry, this question is for PEAK Premium Subscribers only Upgrade to PEAK This is an AAOS Self Assessment Exam (SAE) question. Orthobullets was not involved in the editorial process and does not have the ability to alter the question. If you prefer to hide SAE questions, simply turn them off in your Learning Goals. (SAE07PE.66) A 12-year-old boy with an ankle fracture undergoes closed reduction under sedation in the emergency department. Figure 27 shows a lateral radiograph of the ankle after two attempts at closed reduction. Based on these findings, treatment should now consist of QID: 6126 FIGURES: A Type & Select Correct Answer 1 at least two more attempts at closed reduction in the emergency department before the patient’s sedation wears off. 1% (4/583) 2 at least two attempts at closed reduction in the operating room under general anesthesia with muscle relaxation. 4% (22/583) 3 acceptance of the reduction because the alignment is satisfactory and growth problems are rare with Salter-Harris type I fractures. 3% (19/583) 4 open reduction, extraction of any interposed periosteum, and smooth wire fixation to prevent nonunion. 8% (49/583) 5 open reduction, extraction of any interposed periosteum, and smooth wire fixation to decrease the chance of premature physeal closure. 83% (483/583) L 2 Question Complexity D Question Importance Select Answer to see Preferred Response SUBMIT RESPONSE 5 Review Tested Concept Review Full Topic This is an AAOS Self Assessment Exam (SAE) question. Orthobullets was not involved in the editorial process and does not have the ability to alter the question. If you prefer to hide SAE questions, simply turn them off in your Learning Goals. (SAE07PE.49) An 11-year-old boy sustained an ankle injury while playing football. Figure 20 shows an AP radiograph obtained the day of injury. Treatment should consist of QID: 6109 FIGURES: A Type & Select Correct Answer 1 closed manipulation and a long leg cast. 5% (30/610) 2 closed manipulation and a short leg walking cast. 3% (17/610) 3 a long leg cast and long-term follow-up to rule out growth arrest. 4% (24/610) 4 open reduction and internal fixation with a transphyseal lag screw and a non-weight-bearing cast. 3% (18/610) 5 open reduction and internal fixation with fixation parallel to the physis and a non-weight-bearing cast. 85% (519/610) L 2 Question Complexity D Question Importance Select Answer to see Preferred Response SUBMIT RESPONSE 5 Review Tested Concept Review Full Topic