1.2 Common Postural Problems Flashcards
When do kids develop feet arches?
4-5 years
How to test if flexible flat fee?
Go on tip toes
Shoe orthotics for flexible flat feet?
Nope
When are flat feet a problem
Rigid flat feet
Painful
Need surgery usually
Initial management of painful flat feet?
NSAIDS for symptoms
X-rays
Orthopod referral
Intoeing considerations?
Age
Anatomical level
Severity
Natural history
What causes metatarsus adductus?
In utero posture
Mobile metatarsus adductus treatment?
Nothing
Sleep supine
More severe Mobile metatarsus adductus treatment?
Stretching
Plaster
Reverse shoes
Surgery
Severe intoeing due to internal tibial torsion treatment?
Brace night time
Surgery
Intoeing in older kids usually how?
Who?
Excessive femoral anteversion
Girls
How long to fix femoral anteversion?
Until skeletal maturity
Bow legs are normal in kid under which age?
2
Spontaneous correction by 3
When is bow legs pathological?
Asymmetrical -rickets Osteogenesis imperfecta Bone and fibrous dysphasia Growth plate injury
What is Blount’s Disease?
Damage to growth plate of medial tibia due to childhood obesity
Age 2 -4 progressive bowing