paeds ortho Flashcards
Congenital Talipes Equinovarus
Deformity in ankle and foot
Can be bilateral
3 month old presents with hindfoot equinus
forefoot adduction, supination
Congenital Talipes Equinovarus
signs of Congenital Talipes Equinovarus
hindfoot equinus
forefoot adduction, supination
developmental dysplasia
Altered angle of femoral head
Shallow acetabulum
types of developmental dysplasia
dislocation
Dislocatable
subluxation
signs of unilateral developmental dysplasia
+ive barlows test
reduced hip abduction
shortness of 1 leg
1 greater trochanter short than the other
trendelenberg
antalgic gait
signs of bilateral developmental dysplasia
wide perineum
wide pelvis
increased lumbar lordosis
trendelenberg gait
symmetrical limmited abduction
perthes’ disease
Osteochondritis or osteonecrosis of head of femur or acetabulum
risk associated with perthes’ disease
OA in adulthood
signs of perthes’ disease
pain
limp
reduced ROM - abd, IR
limb shortening
collapse of femoral head
x ray signs of perthes’ disease
increased epiphyseal density
wide joint space
head of femur fragments
slipped capital femoral epiphysis
growth plate in femur is damaged and femoral head slips
signs of acute slipped capital femoral epiphysis
fall,
unable to weight bear
limp
signs of chronic slipped capital femoral epiphysis
limp,
loss of ROM abd and IR,
aching pain,
limb shorter
what surgery is used to correct perthes’ disease
femoral or pelvic osteotomy
signs of scoliosis
Spinal curvature
Shoulders not level,
Pelvis not level,
Waist asymmetrical,
Chest asymmetry
‘Rib Hump’ on forward flexion
another name for traction apophysitis in tibial tuberosity
osgood schlatters
another name for traction apophysitis in calcaneal epiphysis
sever’s lesion
common location of traction apophysitis
base of 5th metatarsal
tibial tuberosity
calcaneal epiphysis
what treatment is expected for scoliosis with curve of 25-40 degrees
boston or milwaukee bracing
what treatment is expected for scoliosis with curve greater than 40 degrees
surgery
