Musculoskeletal Flashcards
which disorder is associated with adduction of the forefoot
club foot- Talipes equinovarus congenita
talipes equinovarus
club foot
Develops from an infarction of bony epiphysis of the femoral head.
Legg-Calve Perthes
Which most affects outcome for LCP
1) age, bilateral involvement,
age
Inflammatory process that affects larger joints spaces (hip), ages 3-8 y/o, acute onset, occurs after an illness often URI
toxic synovitis
what is Galeazzi sign
unequal knee height
Ortolani is good until what age?
what is the motion?
good test until 6mo of age
hips out
Hip dysplasia tx
treat with pavlik harness
Hip dysplasia risks
breech presentation, oligohydramnios, female gender, and a family history of the condition
what do you do for a child who has torticollis at 14 mo of age
refer to surgery
what is Alis sign?
unequal LEG length
peak ages for Osgood- schlatter? Why does it happen in this age range?
11-14
growth spurt, athlete
what is the treatment for Osgood- schlatter?
limit activit, knee immobilizer (limit the vibrations)
What is the age range for toxic synovitis?
Preschoolers, range is 2-6 most often but can occur from ages 1-15
painful limp, unilateral involvment, spasm of the hip with internal rotation, normal x ray
what is your diagnosis?
toxic synovitis
what is the treatment for toxic synovitis?
analgesics, bed rest as needed, typically benign
insidious onset of limp with knee pain, afebrile, limited passive internal rotation and abduction of hip. what am I?
leggs calve perthes
treatment for LCP?
obs IF: under 6 with full rom, and less than half of femoral head is involved
refer: more than one half of femoral head is involved, children older than 6
avascular necrosis of the femoral head is related to what disorder?
LCP
spontaneous dislocation of the femoral head is r/t what disorder?
SCFE
may observe significant limb shortening with what condition?
SCFE
SCFE risk factors/causes?
overweight, african americans
causes: sudden force or trauma, pubertal hormonal changes,
most children with Duchenne’s muscular dystrophy are wheelchair-bound by what age?
10-12
genu varum is a normal variant until what age?
age 2 (unles its prominant on one leg or is worsening)
genu valgum is a normal variant until what age?
age of 7
what is gowers sign?
walking hands up leg
what is a good way to differentiate LCP from SCFE?
aside from age, wt, incident of trauma
LCP pain starts at KNEE and goes UP
SCFE starts at HIP and goes DOWN
SCFE treatment? what is a big risk after SCFE?
surgery with a PIN
** watch for second hip likely to happen to other side**
if a child has a + gowers sign, what lab would you draw to aid to your differential?
CK is makedly elevated
