Paediatric orthopaedics Flashcards
Two differentials for limping child
transient synovitis
cerebral palsy
septic arthritis
discitis
inflammatory arthritis
One differential for limping child aged 3-8
Perthes
limb leg abnormality
9-15 y/o?
SUFE/slipped capital femoral head epiphysis
What is the name of fracture that involves the epiphyseal plate (growth plate) of a bone
salter harris
Which is the most common type of salter harris fracture?
type II
Name two types of fractures that arise exclusively in children
salter harris
buckle fracture
greenstick
What is the aetiology of club foot?
positional vs congenital
What is the management of club foot?
serial casting- ponseti method
What is Kocher’s criteria?
differentiates between septic arhtritis and transient synovitis
What are the features of Kocher’s criteria?
NEWT
Not weight bearing on affected side
ESR >50
WCC >12,000
Temp
Suspicion of septic arthritis in child. Do you aspirate the joint like in adults?
no, monitor in hospital for 24 hours. If they are stable then more likely transient synovitis, if they deteriorate then septic arthritis, aspirate joint
Name two strong risk factors for DDH
first degree relative
breech
oligohydramnios
How does DDH present?
delayed walking
What is Perthes?
It occurs when the blood supply to the rounded head of the femur (thighbone) is temporarily disrupted. Without an adequate blood supply, the bone cells die, a process called avascular necrosis. AVN of epiphyses
