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Family Med EOR > MSK > Flashcards

MSK Flashcards

1
Q

What is slipped capital femoral epiphysis?

A

Femoral head slips posterior & inferior at the growth plate

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2
Q

Who is slipped capital femoral epiphysis MC in?

A

7-16 yo
Obese
African American
Males during growth spurt

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3
Q

What are clinical manifestations of slipped capital femoral epiphysis?

A

High, thigh, or knee pain w/ limp

External rotation of affected leg

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4
Q

How do you treat slipped capital femoral epiphysis?

A

Non-weight bearing w/ crutches –> ORIF

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5
Q

What is legg-calve-perthes disease?

A

Idiopathic avascular osteonecrosis of the femoral head in children

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6
Q

Who is legg-calve-perthes disease MC in?

A

Children 4-10 yo

4x MC in boys

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7
Q

What are clinical manifestations of legg-calve-perthes disease?

A

Painless limping x weeks (worse w/ continued activity esp. at the end of the day)

Intermittent hip, thigh, knee, or groin pain

Loss of abduction & internal rotation

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8
Q

How do you diagnose legg-calve-perthes?

A

Hip radiograph

  • Early: increased density of femoral head, widening of cartilage space
  • Advanced: deformity, crescent sign*
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9
Q

How do you treat legg-calve-perthes?

A

Obs
Activity restriction w/ ortho follow up
PT

Pelvic osteotomy

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10
Q

What is osgood-schlatter disease?

A

Osteochondritis of the patellar tendon @ tibial tuberosity from overuse

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11
Q

What is the MC cause of chronic knee pain in young, active adolescents?

A

Osgood-schlatter disease

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12
Q

Who is osgood-schlatter disease MC in?

A

Males
10-15yo
Athletes w/ growth spurts

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13
Q

What are the clinical manifestations of osgood-schlatter disease?

A

Activity-related knee pain/swelling
Painful lump below knee
Tenderness to anterior tibial tubercle

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14
Q

How do you diagnose osgood-schlatter disease?

A

Radiograph:

- prominence or heterotopic ossification at the tibial tuberosity

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15
Q

How do you treat osgood-schlatter disease?

A

RICE, NSAIDs, quadriceps stretching

If refractory –> surgery

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16
Q

What is ankylosing spondylitis?

A

Chronic inflammatory arthropathy of the axial skeleton and sacroiliac joints w/ progressive stiffness

17
Q

Who is ankylosing spondylitis MC in?

A

Young males 15-30 yo

18
Q

What are clinical manifestations of ankylosing spondylitis?

A

Chronic low back pain, morning stiffness w/ decreased ROM (stiffness decreases w/ exercise/activity)

May radiate to thighs

Peripheral arthritis: sacrolitis (bilateral), kyphosis

19
Q

How do you diagnose ankylosing spondylitis?

A

Increased ESR, + HLA-B27

Bamboo spine on xray = squaring of the vertebral bodies

20
Q

How do you treat ankylosing spondylitis?

A

NSAIDs, rest, PT

TNF-alpha inhibitor (infliximab), Steroids

Family Med EOR (15 decks)

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