Childhood MS disorders

Question 1

Torticollis

Answer 1

contracture of SCM causes lateral flexion same side & rotation opposite side
plagiocephaly is associated

Question 2

Arthrogryposis

Answer 2

congenital disorder characterized by restricted mobility in multiple joints due to proliferation of fibrous tissue within joint

Question 3

Galeazzi sign:

Answer 3

shortness of femur w/ hips & knees flexed

Question 4

How is hip stability assessed for children?

Answer 4

barlow & ortolani maneuvers

• barlow: IR, add, push in
• ortolani: ABD/ER (puts hip back in place

Question 5

Hip dysplasia/ what orthotics would be used?

Answer 5

limited hip abduction

< 6 mths: pavlik harness: monitor for AVN
> 6 mths: abduction orthoses/ORIF

Question 6

Talipes equinovarus (clubfoot)

Answer 6

hindfoot equinus, hindfoot varus, forefoot varus

Question 7

Treatment for talipes equinovarus:

Answer 7

serial casting

Question 8

Scheuermann’s disease

Answer 8

anterior vertebral column doesn’t grow at same rate as posterior column (wedge-shaped deformation
-apparent w/ pre-puberty

Question 9

Functional/Structural Scoliosis

Answer 9

functional: acquired from faulty posturing/muscle imbalance
structural: bony deformation

Question 10

when is surgery indicated for scoliosis?

Answer 10

> 45-50 degrees

Question 11

PT considerations for scoliosis

Answer 11

asymmetrical exercises

not aggressive but targeted

Question 12

Slipped capital femoral epiphysis

Answer 12

femoral head displaced posterior/inferior
worry about AVN
Males 13-15, females 11-13
see more retroversion/ER

Question 13

clinical presentation of SCFE

Answer 13

hip pain
antalgic gait
femoral retroversion

Question 14

Legg-Calve-Perthes disease

Answer 14

osteochondrosis - AVN in ossification centers during rapid growth
ages 3-11
male > female
may be bilateral

Question 15

clinical presentation of legg-calve-perthes disease

Answer 15

groin pain
limited hip ABD/IR
positive trendelenburg
knee pain > hip pain
AVN --> revascularization --> bone healing --> deformity

Question 16

clinical presentation of osgood-schlatter disease

Answer 16

gradual onset
pain in tibial tubercle/patellar tendon region w/ repetitive activities
edema/bursitis
chronic - atrophy of quads/hamstring tightness

Question 17

Sinding-Larsen-Johansson disease

Answer 17

pain localized to inferior patellar pole
“jumper’s knees” - distal patellar apophysitis
10-15 y/o

Question 18

Osteochondritis dissecans

Answer 18

AVN in lateral surface of medial distal femoral condyle –> fragment of cartilage & bone separates from surface
males > females

Question 19

Clinical presentation of OCD:

Answer 19

pain, swelling, antalgic gait
knee locking
tibial retroversion w/ gait (out toe)