Lower Limb Dx Flashcards

1
Q

Blounts Disease

A
  • Growth disturbance proximal/medial tibia, genu varum/internal rotation of tibia
  • Treat: KAFO (nocturnal and daytime), surgery (rotation osteotomies)
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2
Q

Arthrogryposis

A
  • Wooden doll appearance, sensation is intact, limbs look cylindrical, joint rigidity, flex/ext deformities, club foot, possible seizures (CNS)
  • overall goal is to Maintain ROM
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3
Q

Osteogenesis Imperfect

A

-Bone development growth, not ideal due to collagen defect.
-Goal: prevent, or manage Fractures
Treatment: PT, Fracture bracing, Spinal bracing

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4
Q

Legg-Calve Perthes

A
  • Avascular necrosis of the hip or coxa plana (flat hip)

- Ox treatment: Scottish-Rite, Trilateral socket, Toronto, Newington, Petrie Casts. All prevent hip SUBLUXATION

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5
Q

Congenital Hip Dysplasia

A
  • 2 types: Teratologic dislocation (2%), Typical CHD (dislocation, subluxation, hip joint laxity, abnormal development)
  • Treatment: Frejka Pillow, Pavlik Harness, Von Rosen, Ilfeld, polypro abduction, plaster hip spica
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6
Q

Spina Bifida

A

-development defect, failed fusion between vertebral arches, dysplasia of the spinal cord and its membranes
-Ox goal: promote efficient independent mobility with least amount of bracing and prevent deformities
Treatment: Thoracic/High lumbar (Standing Frame, parapodium, RGO, HKAFO), Low Lumbar (KAFO, SAFO, Ground Reaction AFO), High Sacaral (AFO), Low Sacaral (AFO, SMO, Insert)

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7
Q

Talipes Equinovarus

A

Clubfoot
-Combo of deformities: FF Adduction, Midtarsal Jt supination, equinus at ankle, medial deviation at foot.
Ox Treatment: Dennis Brown Bar, Ponsetti (no AFO due to limiting of muscles), used after serial casting

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8
Q

Cerebral Palsy

A
  • a disorder of movment and posture due to non progressive lesion or injury to an immature brain
  • leading cause of childhood disability
  • Ox Treatment: AFO, SMO, SWASH, WHO, Hand splint, body jacket, TLSO (large range of needs)
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