SAQ 385 – Paediatrics – paediatric cervical facet joint dislocation

A 4-year-old girl is assessed after falling from monkey bars at school. She has neck pain, and ambulance officers have maintained cervical-spine precautions.

Her lateral cervical-spine x-ray is shown below.

List four (4) history or examination features that would increase concern for cervical-spine injury and support imaging.

(Marked out of 4.0)

/ 4

Describe the main abnormality on the x-ray.

(Marked out of 1.0)

/ 1

State the likely diagnosis causing this x-ray appearance.

(Marked out of 1.0)

/ 1

Complete the table on paediatric cervical-spine immobilisation considerations and strategies to maintain neutral positioning.

(Marked out of 6.0)
</p> <table class="saq-prop-table"> <thead> <tr> <th>Specific consideration in children</th> <th>Strategy to promote neutral positioning</th> </tr> </thead> <tbody> <tr> <td>Short submental distance</td> <td></td> </tr> <tr> <td>Poor tolerance of immobilisation or agitation</td> <td></td> </tr> <tr> <td>Natural desire to look around</td> <td></td> </tr> <tr> <td>Younger-child flexed resting posture when lying flat</td> <td></td> </tr> </tbody> </table> <p>

/ 6

Total Score: 0 / 12

Percentage: 0%