Ortho

Question 1

Scoliosis

Answer 1

Observe

Question 2

Positive predictors for septic arthritis

Answer 2

Temp>38
WBC > 12
ESR >40
Refusal to weight bear

4 criteria = 99% chances of septic arthritis. Kocher. 1999

Question 3

Scoliosis. When to refer?

Answer 3

Cobb angle >20
Pain
Fast progression
Young age
Left sided curve
Skeletally mature with angle >45
Gait changes
Rapid progression
Bowel/bladder fx anomalies
Kyphotic thoracic pain
Abnormal lower extremity and abdominal reflexes
New foot deformity
Signs of dysraphism