Diseases Of Bones And Joints Of Spine And UE Flashcards

1
Q

What type of CP is scoliosis most commonly seen in?

A

Spastic quadriplegic

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2
Q

Nursemaid’s elbow

A

Subluxation of radial head with displacement distal to the annular ligament

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3
Q

What is functional scoliosis due to?

A

Bad posture and muscle spasms

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4
Q

What physical exam finding is seen with torticollis

A

Olive sign - soft, non tender enlargement on SCM

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5
Q

At what Cobb angle will you begin to see abnormal PFTs

A

50-60 degrees

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6
Q

Treatment of little leaguer’s elbow

A

Rest and proper body mechanics

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7
Q

How do you reduce a subluxation of radial head?

A

Supination of forearm and flexion of elbow

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8
Q

If someone has congenital torticollis, what other body part must be evaluated because of increased incidence with torticollis?

A

The hips, because there is increased incidence of DDH

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9
Q

Diagnostic criteria for scheuermann’s disease

A

Greater than or equal to 3 consecutive vertebrae wedged greater than 5 degrees

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10
Q

What is Adam’s test

A

Forward bending test to evaluate the curvature of the spine

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11
Q

Mainstay treatment of torticollis

A

Stretching

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12
Q

How is head positioned for a right torticollis

A

Sidebent right, rotated left

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13
Q

At what point is surgical intervention considered for treatment of torticollis?

A

If no improvement after 18-24 months

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14
Q

At what Cobb angle do you do surgery?

A

> 40 degrees

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15
Q

Most common side of congenital torticollis

A

Right side

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16
Q

Most common cause of torticollis

A

Fibrosis of the SCM

17
Q

At what Cobb angle do you brace?

A

20-40 degrees

18
Q

Most common abnormality seen in PFTs due to severe scoliosis

A

Decreased vital capacity

19
Q

MC type of spondylolisthesis in adults

A

Degenerative spondylolisthesis

20
Q

Most common age to get idiopathic scoliosis

A

> 11 yo

21
Q

What is medical term for little leaguer’s elbow

A

Medial epicondylar apophysitis

22
Q

MC presenting symptom of spondylolisthesis

A

Difficulty forward bending

23
Q

MC location of spondylolisthesis

A

L5-S1

24
Q

Most common idiopathic scoliotic curve

A

Right thoracic OR right thoracic/left lumbar

25
Q

When is surgery indicated for spondylolisthesis

A

Slippage >50%

26
Q

Pathophysiology of little leaguer’s elbow

A

Repetitive traction stress on medial epicondyle apophysis from repetitive valgus stress

27
Q

What test should all children with congenital vertebral anomaly have?

A

Renal ultrasound to assess anomalies of the genitourinary system

28
Q

MC type of spondylolisthesis in children and adolescents

A

Isthmic spondylolisthesis