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Peds PM&R > Limb Disorders > Flashcards

Limb Disorders Flashcards

1
Q

LE Amputation Causes

A

Congenital outnumbers acquired 2:1
Trauma: MVC, guns, burns, landmines (boys:girls 3:2)
Osteogenic sarcoma & Ewing’s sarcoma MC tumors
Infection: purpura fluminans from meningococcal septicemia (may be multilimb)

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2
Q

Classifying Congenital limb deficiency

A

Transverse def named at segment where limb terminates

Longitudinal def named for ones partially or totally affected & fraction missing

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3
Q

Fibular Longitudinal Deficiency

A

Fibular hemimelia
Most common
Manifests as valgus foot, short leg, unstable knee &/or unstable ankle

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4
Q

Transtibial Deficiency

A

MC than transfemoral

Longitudinal def of tibial

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5
Q

UE Amputations

A

60% congential
MC limb def is left transradial
Trauma: single limb 90% (boys:girls 3:2)
Osteogenic sarcoma & Ewing’s sarcoma MC tumors (highest incidence in 12-21 yo)

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6
Q

Amelia

A

Absence of limb

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7
Q

Hemimelia

A

Absence of half limb

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8
Q

Phocomelia

A

Flapper-like appendage attached to trunk

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9
Q

Acheiria

A

Missing hand

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10
Q

Adactylyl

A

Absent metacarpal or metatarsal

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11
Q

Aphanlangia

A

Absent finger or toe

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12
Q

Radial deficiency syndromes

A

Thrombocytopenia w/ absent radius synd
Fanconi (leukopenia)
Holt-Oram (congenital heart defects)
VACTERL (vertabral, anal atresia, cardiac, thracheosophageal fistula, renal, limb anomalies)

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13
Q

Vikke Procedure

A

Attaches toes to residual limb to create a pincher grip with the transferred big toe
No foot complication from procedure

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14
Q

Arhogryposis multiplex congenita

A

multiple congenital joint contractures

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15
Q

Amyoplasia

A

No muscle growth

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16
Q

Blount’s Disease

A

Progressive and excessive varus alignment and shortening of legs due to partial fusion of the medial portion of the proximal tibia

17
Q

Club foot

A

Congenital deformity of the foot which includes equinus, varus adduction, rotational and cavus deformities

18
Q

Ponseti method

A

Manipulative technique that corrects congenital club foot by gradually rotating the foot around the head of the talus over a period of weeks
Start 7-10 days after birth

Peds PM&R (15 decks)

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