6.2.9. Neonatology - Common Post-Natal Problems - Orthopaedic

Question 1

What are the Common Orthopaedic Conditions

Answer 1

1. Talipes - Positional / Fixed
2. Developmental Dysplasia of the Hips
3. Accessory Digits
4. Fractures

Question 2

What is Talipes?

Answer 2

Medial (Varus) or Lateral (Valgus) Deviation of the Foot

Question 3

What is the Treatment of Talipes?

Answer 3

1. Positional requires only Physiotherapy
2. Fixed required Vigorous Manipulation:
3. a) Strapping
4. b) Casting
5. c) Surgery

Question 4

What is Significant Talipes Associated with?

Answer 4

Developmental Dysplasia of the Hips

Question 5

What is the cause of Developmental Dysplasia of the Hips?

Answer 5

Shallow Acetabulum resulting in Femur Slipping out of the Socket

Question 6

What are the Risk Factors of Developmental Dysplasia of the Hips?

Answer 6

1. Breech Presentation
2. 1st Degree Relative with it
3. Multiple Birth
4. Female
5. 1st Child
6. Large Birth Weight

Question 7

What is Examined in Developmental Dysplasia of the Hips?

Answer 7

1. Leg Length
2. General Movement of the Legs
3. Groin Crease
4. Ortolani / Barlow Test
5. Ultrasound

Question 8

What is involved in Barlow Test?

Answer 8

Push Down in the Hip to cause Dislocation

Question 9

What is involved in Ortolani Test?

Answer 9

Lateral Rotation of the Hip

Question 10

Why is the Groin Crease Examined?

Answer 10

They Illustrate the Appearance of Dislocated Hips

Note - Long Fold suggests Dislocation

Question 11

What is the Treatment of Developmental Dysplasia of the Hips?

Answer 11

1. Relocation
2. Pavlik Harness
3. Surgical Reduction

Question 12

What is the Treatment of Accessory Digits?

Answer 12

Most are Removed by a Plastic Surgeon