Ortho Flashcards
- Under development of the femur and acetabulum
- Tx: some spontaneously correct. Others require manuel reduction, external splinting
Congential hip dysplasia
-Avascular necrosis of the proximal femur
-Highest incidence between 4-8yrs
-Sx: Persistent pain, limp, limited ROM
Tx: Proection of joint
Legg-Calves-Perthes Disease
- Discplacement of proximal femoral epiphysis d/t disruption of the growth plate
- MC seen in obese adolescent males
- Sx: painful limp, insidious hip/thigh/knee pain
- Tx: Pinning
Slipped Capital femoral epiphysis (SCFE)
Chin rotated away from affected SCM
Torticollis
- Lateral curvature of the spine
- Sx: asymmetrical hips and shoudlers
- Tx: surveliance to surgery
Scoliosis
-Disease of apophystits of tibial tubercle d/t trauma or overuse
-MC 8-15 boys
-Self limited, usually heals when epiphysis close
-SX: Anterior knee pain localized to tibial tubercle–>worse with activity, better with rest.
Tx: Abstention from physical activities. Stretching, Ice, NSAIDS
Osgood-Schlatter
1) Plantar flexion of foot at ankle; 2) inversion deformity of heel; 3) medial deviation of forefoot
Club foot (Talipes eequinovarus)
Bowlegged normal up to 3yrs
Genum Varum
Normal until 8
Genum Valgum
Inward toeing
Tibial torsion
MC benign bone tumor of kids. Pain free mass
Osteochondroma
Aggressive bone cancer. Pain in long bones.
Osteosarcoma
Pain, fever, leukocytosis. Poor prognosis.
Ewing Sarcoma
Most common cause of septic arthritis
S. aureus
Inflammation of tendon sheath. Pain w/ mov’t, welling, impaired function. RICE
Transient tenosynovitis of hip
