ms 8 Flashcards
metatarsus adductus
(sharp, inward angle of forefoot) = normal – inbwteen second and 3rd toe > mild: ½ 3, moderate=inbetween 3 and 4, severe inbtw 4-5 …. Valgus inbtwn 1-2
genu varum and valgum
Determining genu varum (bow legs – 18mnths) and genu valgum – Knock knee 3-4 years> straight legs around 6ys .
Intercondylar distance:
The width between the knees when the feet are placed as close together as possible
• Most intercondylar separation Maximum “Bow Leg”
• Least intercondylar separation Maximum “Knock knee”
• Moving towards equal scores “Straight legs” NB gender
Intermalleolar distance:
The width between the ankles when the child’s knees are placed together
• Least intermalleolar separation Maximum “Bow Leg”
• Most intermalleolar separation Maximum “Knock knee”
Moving towards equal scores “Straight legs” NB gender
Flat foot/pes planus =
Tension the plantar fascia by extension of the great toe
Tip-toe test
Othro factors effecting bone dvlp
: Diet, genetics, length discrepancies, muscle strength, xray results, gait, activity levels (weight baring activity), NEED TO BANK BONE DENISTY BY THE END OF PUBERTY, weight, height, pain
COG
Infants = COG is T12, adults =L5
curves
Curves: 3-6 months cervical ext, 8 months = lumbar
Out-toeing
– more commin up to 2yrs – hip ER
In toeing
= 4-8yrs – MSK activity decreased medial femur torsion and increase lateral torsion of tibia over time