orthopaedic paediatrics Flashcards
when would you do spinal fusion on a child ?
cobb angle >45 degrees
11-13 years old
what is fused during spinal fusion surgery?
T2 fused to pelvis
what does normal motion depend on
-an appropriate adequate force acting via a rigid lever of appropriate length on a stable joint
what are some features of a normal gait?
- stability in stance
- clearance in swing
- pre position of foot in terminal swing
- adequate step length
what 3 types of scoliosis are there?
infantile <3
juvenile 3-10
adolescent 11-18
how do long bones grow?
from the physes- increase in length
how do long bones grow?
from the physes- increase in length
what zones does the physes consist of?
- hypertrophic zone
- proliferative zone
- reserver zone
what is required for bone growth?
- good diet
- sunshine
- vitamins
- growth plates
- hormones
how to assess growth?
- growth chart
- menalaus chart
- moseley chart
- look at lower limb
what is normal variation is babies knees?
start - varus
end up- valgus
then have normal knees
what suggests infection/being unwell in the bone?
Harris lines
what is a type 1 fracture?
goes through growth plate
diastrophic meaning
bent/curve
what does a higher GMFC mean?
-higher risk of dislocation
what is this?
clubfeet/ CTEV
