paeds ortho

Question 1

Congenital Talipes Equinovarus

Answer 1

Deformity in ankle and foot
Can be bilateral

Question 2

3 month old presents with hindfoot equinus
forefoot adduction, supination

Answer 2

Congenital Talipes Equinovarus

Question 3

signs of Congenital Talipes Equinovarus

Answer 3

hindfoot equinus
forefoot adduction, supination

Question 4

developmental dysplasia

Answer 4

Altered angle of femoral head
Shallow acetabulum

Question 5

types of developmental dysplasia

Answer 5

dislocation
Dislocatable
subluxation

Question 6

signs of unilateral developmental dysplasia

Answer 6

+ive barlows test
reduced hip abduction
shortness of 1 leg
1 greater trochanter short than the other
trendelenberg
antalgic gait

Question 7

signs of bilateral developmental dysplasia

Answer 7

wide perineum
wide pelvis
increased lumbar lordosis
trendelenberg gait
symmetrical limmited abduction

Question 8

perthes’ disease

Answer 8

Osteochondritis or osteonecrosis of head of femur or acetabulum

Question 9

risk associated with perthes’ disease

Answer 9

OA in adulthood

Question 10

signs of perthes’ disease

Answer 10

pain
limp
reduced ROM - abd, IR
limb shortening
collapse of femoral head

Question 11

x ray signs of perthes’ disease

Answer 11

increased epiphyseal density
wide joint space
head of femur fragments

Question 12

slipped capital femoral epiphysis

Answer 12

growth plate in femur is damaged and femoral head slips

Question 13

signs of acute slipped capital femoral epiphysis

Answer 13

fall,
unable to weight bear
limp

Question 14

signs of chronic slipped capital femoral epiphysis

Answer 14

limp,
loss of ROM abd and IR,
aching pain,
limb shorter

Question 15

what surgery is used to correct perthes’ disease

Answer 15

femoral or pelvic osteotomy

Question 16

signs of scoliosis

Answer 16

Spinal curvature
Shoulders not level,
Pelvis not level,
Waist asymmetrical,
Chest asymmetry
‘Rib Hump’ on forward flexion

Question 17

another name for traction apophysitis in tibial tuberosity

Answer 17

osgood schlatters

Question 18

another name for traction apophysitis in calcaneal epiphysis

Answer 18

sever’s lesion

Question 19

common location of traction apophysitis

Answer 19

base of 5th metatarsal
tibial tuberosity
calcaneal epiphysis

Question 20

what treatment is expected for scoliosis with curve of 25-40 degrees

Answer 20

boston or milwaukee bracing

Question 21

what treatment is expected for scoliosis with curve greater than 40 degrees

Answer 21

surgery