1.2 Common Postural Problems Flashcards

1
Q

When do kids develop feet arches?

A

4-5 years

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2
Q

How to test if flexible flat fee?

A

Go on tip toes

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3
Q

Shoe orthotics for flexible flat feet?

A

Nope

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4
Q

When are flat feet a problem

A

Rigid flat feet
Painful
Need surgery usually

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5
Q

Initial management of painful flat feet?

A

NSAIDS for symptoms
X-rays
Orthopod referral

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6
Q

Intoeing considerations?

A

Age
Anatomical level
Severity
Natural history

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7
Q

What causes metatarsus adductus?

A

In utero posture

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8
Q

Mobile metatarsus adductus treatment?

A

Nothing

Sleep supine

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9
Q

More severe Mobile metatarsus adductus treatment?

A

Stretching
Plaster
Reverse shoes
Surgery

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10
Q

Severe intoeing due to internal tibial torsion treatment?

A

Brace night time

Surgery

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11
Q

Intoeing in older kids usually how?

Who?

A

Excessive femoral anteversion

Girls

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12
Q

How long to fix femoral anteversion?

A

Until skeletal maturity

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13
Q

Bow legs are normal in kid under which age?

A

2

Spontaneous correction by 3

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14
Q

When is bow legs pathological?

A
Asymmetrical
-rickets
Osteogenesis imperfecta
Bone and fibrous dysphasia
Growth plate injury
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15
Q

What is Blount’s Disease?

A

Damage to growth plate of medial tibia due to childhood obesity

Age 2 -4 progressive bowing

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16
Q

What is bow legs biochem screen?

A
Ca, PHos, Alk phos
Vit D
PTH
TFT
Coeliac serology
17
Q

imaging for bow legs?

A

Standing x-ray

18
Q

Knock knees is normal when?

A

Age 3-4

Symmetrical

19
Q

Normal knock knees spontaneous correction by?

A

8 years

20
Q

Severe knock knees surgery is called?

A

Guided growth surgery

21
Q

Normal inter-Malleoli distance?

A

<10cm

22
Q

Idiopathic adolescent scoliosis affects who?

A

Young adolescent girls

Symptoms minimal

23
Q

Idiopathic adolescent scoliosis treatment mild?

A

Observe

X-rays

24
Q

Idiopathic adolescent scoliosis treatment moderate

A

Brace and review

25
Q

Idiopathic adolescent scoliosis severe?

A

Surgery spinal fusion with instrumentation