Musculoskeletal Disorders Flashcards
Painless limp in age 3-10 is likely ?
Legg calf perthres
Painless limp in a child 1-3y/o that’s usually caused by a growth difference is likely?
toddlers fracture
What is legg calf perthres?
the blood supply to ball and joint socket is too low
This fracture caused by FOOSH; compresses bone at metaphysis and doesn’t actually break it; can use splint and heals in 4 wks?
buckle or torus fracture
In this fracture, both sides of boney cortex are broken; MOST common; can be classified depending on angle/pattern of break?
complete fracture
This fracture is caused by “over bending” of a bone; breaks on open side but force isn’t enough to cause complete break?
greenstick
This is not a true fracture but same mechanism as greenstick; heals with periosteal reaction
bowing
This is an oblique fracture of the distal tibia without a fibula fracture?
toddlers fracture
These are growth plate fractures and described via Salter-Harris classifications?
Physeal fracture
This Salter-Harris fracture is the most common type occurring in 75% of cases?
type II or above the growth plate
These two types of S-H fractures can be fixed with closed reduction and don’t need perfect realignment?
type I & II
This is the only S-H type II fracture that needs perfect realignment?
type II of distal femur
This is the most common elbow fracture in peds; will see fat pad or sail sign on x-ray?
Supracondylar fracture
This elbow injury is from swinging or grabbing the child?
radial head subluxation (also called nursemaid elbow)
Most common carpel fracture in kids?
scaphoid
The Barlow and Ortolani tests are used for what condition?
developmental hip dysplasia
______ is an effective treatment for hip dysplasia in children up to 6 months of age?
Pavlik harness
this condition is a common cause of limping in children & is also called toxic synovitis?
Transient monoarticular synovitis
This is an idiopathic avascular necrosis of capital epiphysis of the femoral head; presents in kids 3-12y/o as a painless limp with no known trauma, & is more common in males?
Legg-Calve-Perthes Disease
This is an orthopedic emergency, presents in kids 10-16y/o with hip, thigh or knee px with decreased ROM?
slipped cap
This is a common cause of childhood knee px; occurs after growth spurt and at 13-14 y/o in males; Present with px after activity and swelling over tibial turbcle
Osgood-Schlatter Disease:
bilateral heel px caused by microfractures; common presentation is young athlete whos px subsides with rest
Sever’s Disease (Calcaneal Apophysitis)
Name that condition: AD; affects MSK, CV, and ocular systems; Tall, scoliosis, arachnodactyly, dilated aortic root; Can die from rupture of thoracic aortic aneurism?
Marfan syndrome
Name that condition: most common death in young athletes; AD; abnormal septum thickening between ventricles, no murmur, usually asymptomatic; report they have to work harder than their friends in sports?
Hypertrophic cardiomyopathy
What condition has a risk of sudden death, especially in young athletes?
Hypertrophic cardiomyopathy
Name that condition: starts 5-10 min after starting activity; can resolve spontaneously; USE INHALER to treat sx?
Asthma or exercise induced bronchospasm
Name that condition: Children with a level of >300 glucose, <100 of glucose cannot participate in sports because can have seizures?
Type 1 diabetes
name that condition: sx are headaches, N/V, memory attention, brain fog after
concussion
