Paeds

Question 1

Risks for DDH

Answer 1

1. Female
2. Frank breach
3. Family history
4. First born
5. Native American

Question 2

Treatment for DDH

Answer 2

• < 6 months = Pavlik harness
• > 6 months or failed harness = ORIF

Question 3

Scoliosis

Answer 3

• lateral curvature of spine with vertebral rotation
• Adams forward bend test
• 3 foot standing scoliosis views
• > 10 deg Cobb Angle
• 10% adolescent population
  
  • 10% of these need tx
• refer
  
  • Cobb >20-30 or progression by 5 deg at any time
    
    • bracing for 25-40
    • sx for > 40