Flashbang! Flashcards
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Hindfoot valgus that doesn’t correct with toe standing.
Think tarsal coalition.
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Pediatric conditions: Odontoid hypoplasia
Morquio’s syndrome and pseudoachondroplasia
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pediatric distal femur fracture
Complication = Limb length discrepancy or angular deformity
- results from physeal arrest
- occurs in 30-50% of displaced fractures
- prevent with
- anatomic physeal alignment (critical)
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Bilateral sesamoiditis
Concern for:
Reiter’s disease
Psoriatic arthritis
Seronegative RA
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Looks like perthes but is simultaneous and bilateral.
MED
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Markedly elevated CPK
Duchennes muscular dystrophy
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SED
Involve:
- ophthalmologist
- obtain yearly eye examination
- pulmonologist
- monitor for declining lung function
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Pediatric Olecrenon Fracture
Association with OI
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Intravascular Injection of Bupivicaine
Can cause arrythmia and asystole
Give intravascular lipid emulsion immediatly.
FlashGong!
Pediatric patient: Distal tibial physeal fracture
Risk of unrecognized rotational deformity which can lead to increased external foot progression angle.
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Recon with PAGETS
Increased bleeding - need cell-saver
Increased risk for intra-op fracture
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JIA Workup
Examine C-Spine (AAS)
Opthamology consult (Uveitis)
Abdominal exam (splenomegaly)
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Pediatric patient with irriducible (closed) injury.
Usually interposed soft tissue
PERIOSTEUM
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recurrent MT stress fractures
cavovarus foot
female athlete triad
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Patient has spondylodiskitis.
MRI the ENTIRE spine.
high incidence of skip lesions.
FlashNuke
Charcot Shoulder
Syrinx
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Surgically treated tibial eminence fracture.
Risk of arthrofibrosis is high.
Early ROM is critical.
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Nerve Injury post THR
- Examine patient
- Flex knee and extend hip
- Release compressive bandages
- Assess for hematoma - release in OR if present
- EMG at 3 months
- Involve nerve surgeon
- Foot Drop Splint
- Only 30% recover completely
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Larsens Syndrome
Cervical spine imaging to rule out cervical kyphosis
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OI patient with apnea, altered consciousness, ataxia, or myelopathy.
Basilar Invagination.
usually 3 or 4 decade of life.
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BBFA fracture treated with CR and cast.
(Involving long term prognosis.)
5-10% chance of re-fracture
FlashGrenade!
Hemihypertrophy
Association with malignant intra-abdominal tumours and genitourinary pathology
- malignant intra-abdominal tumors
- Wilm’s tumor (most common)
- perform serial abdominal ultrasounds (every 3 months) until age 7 to rule out Wilm’s tumor
- then physical exam every 6 months until skeletal maturity
- adrenal carcinoma
- hepatoblastoma
- Wilm’s tumor (most common)
- genitourinary abnormalities
- medullary sponge kidneys
- polycystic kidney
- inguinal hernias
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Ehlors Danlos w/u
Echocardiogram
(mitral valve and aortic root)
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Bilateral sesamoiditis
Concern for:
- reiter’s disease (urethritis, conjuctivitis / iritis, inflammatory bowel disease)
- psoriatic arthritis
- seronegative RA
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Pediatric proximal tibia fracture.
WARN FAMILY
Cozen phenomenon
- Risk of valgus deformity
- Usually self correcting
- Risk of LLD
- Does not correct
- Affected tibia usually LONGER (overgrowth)
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Hemophilia
HIV
90% prevalence
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Pediatric conditions: Spinal Stenosis
Achondroplasia
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Displaced distal ulnar physeal injury
Associated with DRUJ injury
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Patient is on Phenytoin.
Can cause osteoporosis and fracture.
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Myelodysplasia
Latex Allergy
Anaphylactic
(IgE mediated)
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Pediatric MRSA Osteomyelitis
High risk of DVT and septic emboli
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Crouch walker - CP Gait
Don’t do isolated heel cord lengthening because it will worsen the deformity.
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Pediatric carpal tunnel syndrome
Mucopolysaccharidoses
Type 1 S (Sheie)
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Total knee in setting of patellectomy.
Have to use PS knee.
