Orthopedics

Question 1

At what age is bowing of legs normal?

Answer 1

Until the age of 2 years old (as long as painless or not severe)

consider referral to ortho, if continues to persist at 2.5-3 years old

Question 2

At what age is intoeing normal?

Answer 2

Until the age of 5 years old

***consider referral to ortho, if continues beyond 5 years or significant degree of intoeing (> 30 degrees)

Question 3

What position does a patient with SCFE (Slipped Capital Femoral Epiphysis) hold there leg?

Answer 3

Externally rotated with limited internal rotation

out-toed gait due to external rotation

Question 4

What is the inheritance pattern for isolated polydactyly (no other abnormalities)?

Answer 4

Autosomal dominant

Question 5

What is the leading cause of mortality in a patient with Skeletal Dysplasia (Achondroplasia for example)?

Answer 5

Craniocervical junction compression

results in central apnea due to damaged respiratory control center