Abnormal Posture in Children Flashcards
What is torticollis?
Known as wry neck
Painfully twisted neck
What are the symptoms of torticollis?
Tumour occurs in 1st few weeks of life
Mobile and non fluctuant nodue
Felt within SCM
Restriction of head turning and tilting
What can cause torticollis?
SCM tumour
Muscular spasm
Secondary to ENT infection, spinal tumour, cervical spine arthritis/malformation
What is Scoliosis?
Lateral curvature of spine
Rotation of vertebral bodies causing prominence in the back from rib asymmetry
What are the causes of scoliosis?
Idiopathic- early onset or girls during puberty
Congenital- spina bifida
Secondary to other disorders e.g. cerebral palsy
What are the symptoms of scoliosis?
Uneven shoulders
Curve in spine
Uneven hips
What is the management of scoliosis?
Mild- self resolves or progresses minimally
Severe
- XR to determine severity
- specialist spinal centre
- brace considered
- surgery if severe or existing pathology
What is clubfoot?
AKA talipes equinovarus
Entire foot is inverted and supinated
Forefoot adducted and heel rotated inwards
Foot in plantar flexion
Affected foot is shorter and calf muscles thinner and fixed in position
Often bilateral
What are some of the cases and the risk factors of clubfoot?
Male=RF
Idiopathic
Secondary to oligohydraminos, malformation syndrome or neuromuscular syndrome e/g/ spina bifida
Familial
What is the management of clubfoot?
Plaster casting and bracing
Severe- surgery
What is flat feet?
Older children and teens is pathological
Absence of normal arch on tip toeing
Can be due to tendo-achilles contracture or tarsal condition or inflammatory arthropathy e.g. JIA