children orthopaedics Flashcards
which arch is wrong in flat feet and what can be wrong with the cuneiform bones
medial longditudinal
square instead of triangle
persistent toe walking can suggest
CP
Duchenne muscular dystrophy or nervous system probs
club foot proper term
talipes equinovarus
which gender club foot, what ratio
m 2:1
main risk club foot
oligohydramnios
club foot on ultrasound
foot pointed down or inwards
tx of club foot
Ponseti method - plaster of paris
which gender congenital hip dysplasia - why
f - more receptors for relaxin
signs of congenital hip dysplasia in a baby
Double crease, leg turned into external rotation and asymmetric gluteal folds
Barlow, Ortolani tests
what is Galeazzi sign
leg length discrpancy in congenital hip displasia
tx congenital hip displasia
Pavlick harness In harness for at least 6 weeks full-time and 6 weeks part-time 80-95% success
most common presentation of CHD in older children
discrepancy of abduction of hips
when does femoral head ossify
4-6 months
which imaging CHD in babies
USS
name these lines
red: Perkin
Yellow: hilgenreiner
Green: Shenton
blue: acetabular index
what position are legs in in Pavlick harness
flexed and abducted
when do you need a better tx than Pavlick harness
if hip not reduced after 3 weeks
if CHD not resolved by 18months what do you do
femoral with or without pelvic osteotomies
what is perthes disease
avascular necrosis of femoral head
which gender Perthes
m
when is it better to get Perthes
younger <5
SUFE presentation
external rotation and leg shortening
which leg has a problem. what problem? what diagnosis
left leg can’t internally rotate
SUFE
what is this line what does it show
Klein’s line is drawn along superior border of femoral neck should cross at least a portion of the femoral head. When SUFE the femoral head drops below this line.
tx for SUFE
close epiphyseal growth plates on BOTH sides, even though if only one of them has slipped
