Chapter 137 - Musculoskeletal Conditions and Injuries in the Young Athlete

Question 1

little leaguer’s shoulder occurs at what point in the throwing cycle

Answer 1

late cocking - rotational stresses are highest here

Question 2

surgical indication for medial epicondyle avulsion fractures

Answer 2

displacement >5mm

Question 3

what area of the physis is most affected in gymnasts wrist?

Answer 3

palmar radial aspect

zone of provisional calcification

Question 4

panner disease

Answer 4

OCD of the entire capitellum in kids <10yo

Question 5

elbow OCD

Answer 5

capitellar lesion in a kid >10yo (eg capitellum has ossified)

Question 6

what ASCL graft should you avoid in a skeletally immature ACL recon?

Answer 6

BTB ACL

Question 7

rehab for pedi acl

Answer 7

immediate quad strengthening, wb locked in extension until quad function returns

Question 8

mpfl is graft tension should be set in which degree of flexion

Answer 8

30 degrees
- it is an ISOMETRIC ligament and should remain tight throughout flexion from 0-60

Question 9

overtensioning an mpfl graft results in what?

Answer 9

limited knee flexion past 90

Question 10

what suture pattern in all inside meniscal repair has been shown to be the strongest?

Answer 10

vertical mattress

Question 11

what is a pathognomoic sign for discoid lateral meniscus on XR

Answer 11

lateral femoral condyle squaring