Musculoskeletal Disorders

Question 1

Painless limp in age 3-10 is likely ?

Answer 1

Legg calf perthres

Question 2

Painless limp in a child 1-3y/o that’s usually caused by a growth difference is likely?

Answer 2

toddlers fracture

Question 3

What is legg calf perthres?

Answer 3

the blood supply to ball and joint socket is too low

Question 4

This fracture caused by FOOSH; compresses bone at metaphysis and doesn’t actually break it; can use splint and heals in 4 wks?

Answer 4

buckle or torus fracture

Question 5

In this fracture, both sides of boney cortex are broken; MOST common; can be classified depending on angle/pattern of break?

Answer 5

complete fracture

Question 6

This fracture is caused by “over bending” of a bone; breaks on open side but force isn’t enough to cause complete break?

Answer 6

greenstick

Question 7

This is not a true fracture but same mechanism as greenstick; heals with periosteal reaction

Answer 7

bowing

Question 8

This is an oblique fracture of the distal tibia without a fibula fracture?

Answer 8

toddlers fracture

Question 9

These are growth plate fractures and described via Salter-Harris classifications?

Answer 9

Physeal fracture

Question 10

This Salter-Harris fracture is the most common type occurring in 75% of cases?

Answer 10

type II or above the growth plate

Question 11

These two types of S-H fractures can be fixed with closed reduction and don’t need perfect realignment?

Answer 11

type I & II

Question 12

This is the only S-H type II fracture that needs perfect realignment?

Answer 12

type II of distal femur

Question 13

This is the most common elbow fracture in peds; will see fat pad or sail sign on x-ray?

Answer 13

Supracondylar fracture

Question 14

This elbow injury is from swinging or grabbing the child?

Answer 14

radial head subluxation (also called nursemaid elbow)

Question 15

Most common carpel fracture in kids?

Answer 15

scaphoid

Question 16

The Barlow and Ortolani tests are used for what condition?

Answer 16

developmental hip dysplasia

Question 17

______ is an effective treatment for hip dysplasia in children up to 6 months of age?

Answer 17

Pavlik harness

Question 18

this condition is a common cause of limping in children & is also called toxic synovitis?

Answer 18

Transient monoarticular synovitis

Question 19

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?

Answer 19

Legg-Calve-Perthes Disease

Question 20

This is an orthopedic emergency, presents in kids 10-16y/o with hip, thigh or knee px with decreased ROM?

Answer 20

slipped cap

Question 21

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

Answer 21

Osgood-Schlatter Disease:

Question 22

bilateral heel px caused by microfractures; common presentation is young athlete whos px subsides with rest

Answer 22

Sever’s Disease (Calcaneal Apophysitis)

Question 23

Name that condition: AD; affects MSK, CV, and ocular systems; Tall, scoliosis, arachnodactyly, dilated aortic root; Can die from rupture of thoracic aortic aneurism?

Answer 23

Marfan syndrome

Question 24

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?

Answer 24

Hypertrophic cardiomyopathy

Question 25

What condition has a risk of sudden death, especially in young athletes?

Answer 25

Hypertrophic cardiomyopathy

Question 26

Name that condition: starts 5-10 min after starting activity; can resolve spontaneously; USE INHALER to treat sx?

Answer 26

Asthma or exercise induced bronchospasm

Question 27

Name that condition: Children with a level of >300 glucose, <100 of glucose cannot participate in sports because can have seizures?

Answer 27

Type 1 diabetes

Question 28

name that condition: sx are headaches, N/V, memory attention, brain fog after

Answer 28

concussion