amboss -orhtope

Question 1

epidemiolgy and etiology of hip displacement

Answer 1

Females effected more than males (breech positiion at birth and low intrauterin space such as oligohydramnios

Question 2

describe barlow

Answer 2

applying downward pressure to check for dislocation

Question 3

describe ortalini

Answer 3

applying upward pressure to check for hip reduction

Question 4

what imaging do you use for DDH (developmental dysplasia)

Answer 4

under 4 motnhs of age do ultrasound –> alpha angle less than 60
above 4 months do xray in AP and later frog positin –>looking for acetabular dysplasia

Question 5

what are the treatment option for DDH based of age

Answer 5

less than 6 months either use a rigid harness or a pavlin non rigid harness
6-18 months use closed reduction
above 18 surgical intervention

Question 6

complication of treating and not treating DDH

Answer 6

not treating –>early osteoarthritis and residual acetbular dysplasia
complication due to dysplasia –>avascular necrosis

Question 7

talipe equinovarus

Answer 7

most common congenital foot deformity

Question 8

how to treat club foot

Answer 8

manual correction with foot serial casting

Question 9

epidemiology for legg calve perthas

Answer 9

more male than female peak incidence at 4 to 10 years of age

Question 10

describe the test that elicits pain in legg calce pethas

Answer 10

FABER flexion, abduction.external rotation

pain also shoots to the knee with movement and physcial acitivity

Question 11

describe transient synovitis

Answer 11

happens after URI, imaging is normal and ultrasound shows effusuion which imepoves —treatment is supporttive

Question 12

test that elicits pain in osgood scchlatter

Answer 12

extension against resisitance

Question 13

describe the five type of salter harris fracture

Answer 13

type 1 all the way 
type2 crack going below 
type 3 crack going above 
type 4 all the way above and below 
type 5 squeezed together