Musculoskeletal Function Flashcards
pediatric bones are MORE ___ + _____ + LESS _____
more POROUS + PLIABLE
less DENSE
-bones can bend, buckle, or break
what facilitates healing of fractures in peds?
rapid bone growth
Metatarsus Adductus
most common congenital foot deformity
Metatarsus Adductus
Tx
MILD: stretchng exercises in first 3 mos of life
>15degree: Serial Casting w weekly cast changes
«>
Clubfoot
foot is twisted out of normal position
>3 areas of deformity
Clubfoot
3 areas of deformity
equinus
varus
supination
Clubfoot
equinus
midfoot directed downward
Clubfoot
varus
hindfoot turns inward
Clubfoot
supination
forefoot curls toward the heel
Clubfoot
Tx
immediate serial casting
-bc short bones of foot begins ossifying short after birth
Genu Varum aka ____
Genu Valgum aka ___
bowed leg
Knocked knees
fr Ca or vit D deficiency
Legg-Valve-Perthes Disease
avascular necrosis of femoral head
Legg-Valve-Perthes
prognosis
self limiting
Legg-Valve-Perthes
prenecrosis stage
insult causes loss of blood supply to femoral head
Legg-Valve-Perthes
avascular stage aka Necrosis
first 3-6 months usually asymptomatic, impossible to detect
Legg-Valve-Perthes
revascularization stage
1-4 yrs of intermittent limping
- can be painless, limited ROM, leg shortening, muscle wasting
- effects now visible on x-ray
Legg-Valve-Perthes
bone healing aka reossification which leads to…
remodeling aka process over
Slipped Capital Femoral Epiphysis
spontaneous displacement of the proximal femoral head from the femoral neck
Slipped Capital Femoral Epiphysis
Tx
bed rest until femoral head is surgically pinned into place
Scoliosis
S or C shaped lateral curvature of spine
-assoc w rotational deformity
Scoliosis
classic signs
- truncal asymmetry
- uneven shoulder + hip height
- one-sided rib hump
- prominent scapula
is Scoliosis painful?
child usually does not complain of pain or discomfort
