Paeds Ortho

Question 1

Osgood Schlatter disease

Answer 1

Affects 10-15y
Tibial tuberosity apophysitis - physical overuse
rx - self limiting bed rest, NSAIDs

Question 2

Ewing’s sarcoma

Answer 2

Adolescents, round cell tumour of long bones

X-ray - onion ring sign

Question 3

Osteosarcoma

Answer 3

Adolescents, usually in long bones

presents with bone pain

Question 4

Clubfoot

Answer 4

congenital deformity
foot deformity - inversion, adduction, plantarflexion
rx- serial Ponseti casts

Question 5

DDH

Answer 5

acetabular dysplasia, dislocation of the hip
high risk: breech, Caesar for breech, fhx, larger baby
Barlow’s - dislocate
Otolani’s - relocate
rx - pavlik harness for 6-12w
6-18m - closed reduction (EUA)
>18m - open reduction

Question 6

SUFE

Answer 6

10-16y, overweight
displacement through growth plate, able to weightbear
rx - surgery, internal fixation

Question 7

Perthes’ disease

Answer 7

3-11y. Avascular necrosis of the fem head - cause unknown

rx - <1/2 fem head affected (NSAIDs, bed rest), >1/2 affected (surgery)

Question 8

Transient Synovitis of the Hip

Answer 8

4-10y. inflammation of synovium, viral cause
Kocher criteria - temp >38.5, WCC >12, CRP >20, non weight bearing
3 or more - SA
Self limiting