osteochondrosis

Question 1

blount dz

Answer 1

osteochondrosis of the medial portion of proximal epiphyeal ossifcation center in tibia causing bowing of the leg(s)

Question 2

freigbergs

Answer 2

OCD of me head ( 2nd most frequent) - more common in girls from 10-18 yrs

Question 3

conservative tx for freibergs

Answer 3

metatarsal pads, short leg casts, and stiff post op shoes

Question 4

Kohlers dz

Answer 4

OCD of the navicular: more common in boys between 3-6

Question 5

Signs and symptoms of kohlers

Answer 5

medial arch pain, walks on lateral side of foot

Question 6

leg-calve perthe dz

Answer 6

OCD of femoral head -most common OCD, the younger the child, the better the prognosis

pain to knee is common, gneralized groin pain, limping

Question 7

osgood schlatter dz; common cause

Answer 7

ocd of tibial tuberosity, most common in boys between 10-15 yrs. caused by excessive traction on patellar ligament

Question 8

Sever Dz

Answer 8

OCD of calcaneus caused by excessive traction of achilles tendon

occurs between 6-12 yrs (more common in pt with equnus)

Question 9

conservative tx for sever dz

Answer 9

RICE, NSAIDS, elimination of sports, heel lifts, achilles stretching

Question 10

Pt s/s with limping and lateral bowing of the leg. radiographic eval reveals sclerotic medial cortex with spurring. dx?

Answer 10

Blount dz

Question 11

most common age that kohler dz occur

Answer 11

3-6 yrs

Question 12

how is kohler dz seen on xray

Answer 12

flatten coin on edge or silver dollar sign

Question 13

MC age for freigbergs infarction

Answer 13

10-18 yrs

Question 14

tx for kohler dz

Answer 14

self limiting and recovery usually takes 2-4 yrs and ultimately resumes normal shape and density

Question 15

most common osteochondrosis

Answer 15

legg calve perthes dz

Question 16

MC age for legg calve perthes dz

Answer 16

3-12 yrs