MSK Flashcards
when to intervene on genu varum
unilateral
worsening after age 1
not resolved after age 2
Blount’s disease
tibial growth disorder, looks like genu varum
infantile - no treatment
adolescent - bracing/surgery
which Salter Harris fx only need casting
I and II
other findings assoc with OI type 1
hearing loss
fractures not at birth
features of OI type 2
lethal
multiple fractures at birth - bag of bones
large head
features of OI type 3
fractures at birth with progressive deformities blue or gray sclerae, lighten over time macrocephaly short height affected hearing weird teeth and bones
features of OI type 4
like type 1 but with white sclerae
repeated attacks of head tilting
paroxysmal torticollis
cervical vertebrae fusion, short neck, low hairline, torticollis
Klippel Feil
Klippel Feil assoc findings
spine issues
renal problems (solitary kidney)
Sprengel deformity (one high scapula)
deafness
risk for DDH
female (#1) breech family hx first born oligohydramnios
when to use US vs XR in DDH eval
up to 4 mos: US
after: XR
empiric tx of septic arthritis in neonate
cloxacillin or gent
empiric tx of septic arthritis in infant
ceroftax
empiric tx of septic arthritis in children
cefazolin
empiric tx of septic arthritis in adolescents
CTX + azithro
common site of osteo in infants
femur, tibia
aneurysmal bone cyst - bad or ok
can be assoc with bone tumor
screening in kids with congenital scoliosis
renal
cardiac
spinal MRI
when to be concerned about scoliosis
> 25 degrees curvature if still growing
40 degrees if lumbar or thoracic
increasing by more than 1 degree per month
normal range for kyphosis
20-40 degrees
fixed kyphosis in adolescent
Scheuermann disease
tx: NSAIDs, PT
inheritance isolated polydactyly
AD
when toe walking is concerning
after 2-3
or unable to put heels down at rest
when should intoeing resolve
by school age
