Lower Limb

Question 1

Acute synovitis of knee is… affects? examn?

Answer 1

• acute form of CHONDROMALACIA PATELLAE
• -> softening of articular patella cartilage
• usu teenage F
• development painful knee over 24h
• cool w crepitus+ pain patellofemoral jt

Question 2

Osteochondritis dessicans is… affects? Xray type?

Answer 2

intermittent swelling + locking w symp similar to cartilage tear

• older boys
• intercondylar Xray

Question 3

Chondromalacia patella

Answer 3

softening of articular patella cartilage usu w unaccustomed activity
–> resolves w avoidance repetitive bending

Question 4

Osgood- schlatter dx is… affects? Sx/Sym?

Answer 4

.. traction apophysitis at TIBIAL tuberosity

• pubertal growth spurt
• pain + tender over TT (clinical dx)

Question 5

Tibial # on Xray may just be…

Answer 5

tuberosity growth plate!

Question 6

Sinding-Larsen-Johansson Dx is… affects? Sx/Sym? Mx?

Answer 6

similar to Os-Sch
-also due traumatic traction tendonitis
- tender + soft tiss swelling INF pole of patella
Mx: rest, limited quads 2-4m

Question 7

Xray findings of Sinding-Larsen-Johansson Dx ?

Answer 7

• osseous fragmentation
• calcification in patella tendon
• soft tiss swellings over calcifications

Question 8

DDX of Hip pain in kids:

Answer 8

INFECTIOUS: septic arthritis, post infectious (G.A.S - ARF), transient synovitis
REACTIVE: post infectious, JRA,
HAEMATOLOGIC: HSP,
FRACTURE & DISLOCATION: SUFE/SCFE, Legg-Calve-Perthes, Congenital Dislocation
Other: referred pain