Paeds ortho

Question 1

Management of transient synovitis?

Answer 1

NSAIDs, + rest + review.

Question 2

How does Perthes present?

Answer 2

Boys age 4-9, limp, pain in hip or knee.

Positive trendelenbug test, usually more active children.

Question 3

SUFE presentation?

Answer 3

Male aged 10-16, fat, limp, pain or knee pain.

Any teenager who cannot weight bear is SUFE until proven otherwise.

Question 4

X ray sign ins SUFE??

Answer 4

Trethomowans sign.

Question 5

Management of club foot?

Answer 5

Ponseti technique.

Question 6

Supracondylar area of the humerus is very weak in children

Answer 6

Very common fracture between age 5-7

Question 7

What is a greenstick fracture?

Answer 7

Incomplete fracture of the diaphysis of the radius.

Note diaphysis is shaft of the bone.

Management = cast + closed manipulation.

Question 8

What is a radial buckle fracture?

Answer 8

occur within the metaphysis.

Arise due to compression fo one side of the bone.

management = splint for3 weeks