Clubfoot/ DDH/ Scoliosis/ JIA

Question 1

clubfoot; talipes varus

Answer 1

inversion

Question 2

clubfoot; talipes valgus

Answer 2

eversion

Question 3

clubfoot; talipes calcaneus

Answer 3

DF

Question 4

clubfoot; talipes equinovarus

Answer 4

PF

Question 5

what are 2 positioning interventions for clubfoot?

Answer 5

1. serial casting
2. positioning shoes

Question 6

explain serial casting?

Answer 6

frequent recasting of the ankle/foot adjusting the position little by little; this is done by a physician

Question 7

what do we educate parents about with serial casting?

Answer 7

educate about the signs and symptoms of child growing out of casts, inform them that this will happen QUICKLY

Question 8

what is key for positioning shoes to work?

Answer 8

making sure that the foot/ankle is in the right position/alignment and to wear them 23 hours/day

Question 9

what are the 2 categories of DDH?

Answer 9

idiopathic (neuro intact)
teratologic (neuro defect)

Question 10

what is the most important therapeutic management for DDH?

Answer 10

early management

Question 11

what do we use to correct DDH in newborns-6 mos old?

Answer 11

Pavlik harness

Question 12

explain Pavlik harness/nursing considerations.

Answer 12

ABD of the hip; maintain reduction of the hip, educate the parents, provide skin care

Question 13

how are children age 6 months to 2 years treated for DDH?

Answer 13

traction or hip spica cast

Question 14

older children require what to fix DDH?

Answer 14

surgery