Diseases Of Bones And Joints Of LE Flashcards
Position of toes in claw toes
Hyperextended MTP and flexed IP
Treatment of osgood-schlatter’s disease
Rest from activity for 4-8 weeks
3 deformities that make up a club foot (equinovarus foot)
- Plantarflexion
- Varus forefoot
- Varus heel
What disease is characterized by bowing of the proximal tibia
Blount’s disease
3 clinical exams used to assess hip dysplasia in children
- Galeazzi test
- Ortolani test
- Barlow test
Adduction of the forefoot with heel in normal position
Metatarsus varus
Treatment of equinovarus foot
PT, bracing, serial casting, surgery
How long do you keep a hip spica cast or pavlik harness on for?
3-4 months
How do you treat acute transient/toxic synovitis of hip
NSAIDs and rest until pain free
Children with metatarsus adductus and torticollis have increased incidence of…..
Developmental dysplasia of hip
How do you perform ortolani test
Abduct hips and push greater trochanter anteriorly to reduce the hip
Which of the 3 causes of nontraumatic hip pain or limp has a normal X-ray
Acute transient/toxic synovitis
Most common cause of limping and pain in hip of children
Transient/toxic synovitis of hip
If DDH is diagnosed, at which do you decide to do surgery instead of bracing?
If it is diagnosed at walking age (14 months), then do surgery
First line treatment for DDH
Pavlik harness
Treatment of tibia vara
Osteotomy of the proximal tibia and fibula
How do you perform geleazzi test
Flex hips and knees and look at level of knees. One knee shorter than the other = hip dysplasia in the shorter one
What complication of DDH result if forced hip abduction in brace or splint occurs?
AVN of hip
Most common hip disorder of children
Slipped capital femoral epiphysis
How do you treat legg-calve-perthes disease
Abduction brace
What is osgood-schlatter’s disease?
Traction apophysitis of the tibial tubercle
Pathophysiology of osgood-schlatter’s disease
Repeated microfractures of the apophyseal cartilage between tibial turbercle and tibial tuberosity
What kind of activities aggravate osgood-schlatter’s disease?
knee bending
How do you perform Barlow test?
Flex and adduct and push femur posteriorly with thumb to see if hip can be dislocated
Congenital anomaly that leads to fusion of tarsal bones
Tarsal coalition
Excessive dorsiflexion and eversion of the foot
Talipes calcaneovalgus
What kind of position does a pavlik harness or hip spica cast keep the hip in?
90-120 degrees of hip flexion and limits hip adduction
How do you treat SCFE?
Surgical pinning
Physical exam findings of tarsal coalition
Hindfoot valgus, forefoot abduction, heel cord contraction
