4.4.1 The Limping Child Flashcards
What are the characteristics of Osgood-Schlatter Disease?
What are the findings associated with SCFE?
What are the characteristics of a 4-10 year old gait?
Children with AVN are at risk for? What is the treatment?
What is this an image of?
Osteomyelitis
How would you make a diagnosis of osteomyelitis?
What are the characteristics of adolescent gait?
What is the Kocher Criteria for Septic Arthritis of the Hip?
?What are the characteristics of osteomyelitis?
What should you do for children with DDH in an exam?
4 year old with worsening limp and leg pain. Recently URI. Uncomfortable, lying in bed, and cries when approached. X ray is normal.
Septic Arthritis
Most common organisms to cause Osteomyelitis?
Staph
H flu
5yo female with several days of leg and back pain decreasd appetite and activity and weight loss.
X ray was negative 2 days before
Thin, ill and uncomfortable appearing.
Cries with manipulation of the hip.
Need to think neoplasm
What is the difference between the antalgic, Trendelenburg, steppage, and vaulting abnormal gait?
What is Transient synovitis of hip?
2 year old with progressive limp and leg pain
X ray negative
Splinted for presumptive fracture
Dragging leg and refusing to walk now
Fever symptoms and CRP/ESR levated
Osteomyelitis
Would you use a CT on a child?
Want to avoid due to expose to radiation
How should you treat patients with DDH?
What are these images of?
Epiphyseal fractures - think child abuse
Old fractures, multiple fractures, and epiphyseal
What is this?
Neoplasm of the bone
4 yo with a 3d history of limp and thigh pain
No fever
Some improvement with ibuprofen
Active and playful
Uncomfortable with rotation
Avascular necrosis
What is SCFE?
What is this?
Osgood-Schlatter’s
Pinpoint tenderness of knee
18 mo
Walking for 3 months
Mother notes abnormal gait
Leg length discrepancy
Asymmetric abduction of the hips
Clunk on Barlow Provocative Test
Developmental dysplasia of the hip
What are the X Ray findings associated with SCFE?
What is the management of SCFE?
What is the diagnosis and treatment of septic arthritis?
What is the presentation of Septic Arthritis?
What is the barlow provocative test?
Dislocation of the hip
Clunk in hip vs click
18 month old with acute onset of limp. Afebrile and no other complaints. Happy and playful until standing up.
What are the characteristics of toddler gait?
What is the Ortolani Maneuver?
Reduces dislocated hip
