1. Plenary session Module 1.1: promote understanding of modeling capacity
Warm up cases: evaluation of current treatment and knowledge
Editors: Theddy Slongo, CH / Jon Dwyer, UK
Faculty note:
The purpose of this session is to evaluate the existing knowledge of the important principles of managing fractures in children as compared to adults.
Do not discuss the case, only ask the participants to vote. Discussion will take place in the re-evaluation session at the end of the module.
AOT Course—Managing Pediatric Musculoskeletal Injuries
AOTrauma Pediatric
Education Taskforce

2. Case 1 11-year-old boy, small stature; X-ray 6 weeks post injury!
What will you recommend?
Wait and see, I am completely convinced that it will remodel within 6 months
Re-manipulation and some kind of fixation
Wait and see but advise the parents there might be a requirement for future corrective osteotomy
Faculty note:
The purpose of this session: stimulate audience participation, revisit principles of growth and modelling
Note; is this first session show only the cases without treatment and no discussion; only voting
At the end of the module repeat the cases and the questions again; then you can show the outcome of treatment and assess change in the participants responses.
Pediatric

3. Case 2 What will you recommend?
11-year-old boy, normal stature; injury film; no nerve injury
Treatment; plaster cast splint, the parents are worried the arm is bent
What will you recommend?
This is a simple fracture; at this level we expect full modeling
We should reduce and fix this fracture
Wait and see but advise the parents there might be a requirement for future corrective osteotomy
Faculty note:
The purpose of this session: stimulate audience participation, revisit principles of growth and modelling
Note; is this first session show only the cases without treatment and no discussion; only voting
At the end of the module repeat the cases and the questions again; then you can show the outcome of treatment and assess change in participants response.
Pediatric

4. Case 3 2-year-old girl, normal stature; injury film; no other lesions
Treatment; over head traction no active reduction
What will you recommend?
This is a simple fracture; at this level we expect full modeling
We should reduce and fix this fracture
Wait and see but advise the parents there might be a requirement for future corrective osteotomy
Faculty note:
The purpose of this session: stimulate audience participation, revisit principles of growth and modelling
Note; is this first session show only the cases without treatment and no discussion; only voting
At the end of the module repeat the cases and the questions again; then you can show the outcome of treatment and assess change in participants response.

5. Case 4 10-year-old boy, fall from a tree What will you recommend?
This is a simple fracture; at this level we expect full modeling
We should reduce and fix this fracture
Wait and see but advise the parents there might be a requirement for future corrective osteotomy
Faculty note:
The purpose of this session: stimulate audience participation, revisit principles of growth and modelling
Note; is this first session show only the cases without treatment and no discussion; only voting
At the end of the module repeat the cases and the questions again; then you can show the outcome of treatment and assess change in participants response.