Orthopaedics 7

Question 1

Difference between metatarsus adductus & metatarsus varus

Answer 1

Adductus - intoe’d foot CAN be put in neutral position

Varus - intoe’d food CANNOT be brought into neutral position

Question 2

What is clubfooting? What do the kids look like?

Tx? When in life?

Answer 2

talipes equinovarus. Congenital deformity, foot looks like it’s been rotated internally at ankle.
Tx: serial casts (immediately, at birth)

Question 3

Running egg-beater appearance is associated with:

Answer 3

Femoral anteversion

Question 4

Internal rotation at femur is called:

at tibia:

Answer 4

at femur: Femoral anteversion

at knee: internal tibial torsion

Question 5

Out-toeing has what foot apperance?

Answer 5

*Foot has up & out appearance

Bnana-shaped lateral sole deviation. Feet are everted (facing away from each other)

Question 6

How do you dx hip dysplasia?

Tx?

Answer 6

Ultrasound
Pavlik harness (frog plaster)

Question 7

What is Rickets?

Answer 7

Deficient in calcium, phosphorus, Vit D, sunlight

Question 8

How do they look if they have SCFE? (lil fat boys)
Dx?
Tx?

Answer 8

Hip held in Abduction & external rotation
dx: frog-leg view of ice cream slipping off cone
Tx: ORIF

Question 9

What is Nurse Maid’s Elbow?

Answer 9

Radial head subluxed from the annular ligament (encircles head of radius).
Can be from tugging on a non-compliant kid’s arm.