Pediatric Conditions

Question 1

Mild, mod, severe intoeing values

Answer 1

-5 to -10

-10 to -15

more than -15

Question 2

femoral anteversion typical at birth:

Answer 2

30-45 degrees

Question 3

femoral anteversion reduces to _____ by 8 years old

Answer 3

10-15 degrees

Question 4

if you have excessive anteversion what position should you avoid?

Answer 4

w sitting

Question 5

mild, mod, severe excessive hip IR

Answer 5

70-80
80-90
more than 90

Question 6

what is thigh foot angle used to assess
WNL measurements

Answer 6

tibial torsion

20 to -20

(intoeing is neg degrees)

Question 7

what is thigh transmalleolar axis used to assess?

Answer 7

tibial torsion

Question 8

Matatarsus adductus vs clubfoot

Answer 8

NOT considered clubfoot if DF range is greater than neutral

Question 9

flat feet are normal in children up to ____ years old

Answer 9

5

Question 10

risk factors of brachial plexus injury

Answer 10

birth weight >8 lbs, breech position, use of forceps or vacuum

Question 11

3 types of brachial plexus injury

Answer 11

erb’s palsy
klumpe’s palsy
C5-T1 global

Question 12

type of brachial plexus injury:
adduction, extension, rotation of shoulder weak elbow flexion and supination (waiter’s tip)

Answer 12

erb’s (C5-6)

Question 13

type of brachial plexus injury:
loss of thumb opposition and adduction, loss of abd, add of MCP joints

Answer 13

klumpke’s (C8-T1)

Question 14

ischemic necrosis of the femoral head ossification center
usually between 4-8 yrs
may be related to nutrition/smoke exposure

Answer 14

legg calve perthes disease

Question 15

abnormal growth and development of the hip frequent dislocations

Answer 15

DDH

Question 16

weak growth plate of the prox femoral physis causing slippage (can be acute or chronic)

Answer 16

SCFE
9-16 yr old boys AA/hispanics/obese
bilateral 60%

Question 17

clinical presentation SCFE

Answer 17

groin pain, may refer to med knee, antalgic gait, decreased hip IR

Question 18

clinical findings LCPD

Answer 18

pain, m weakness, LLD, abnormal gait (short stance on affected side), decreased hip abd/IR

Question 18

clinical findings LCPD

Answer 18

pain, m weakness, LLD, abnormal gait (short stance on affected side), decreased hip abd/IR

Question 19

inherited disorder which results in frequent fractures
no cure/meds work to increase bone density

Answer 19

osteogenesis imperfecta

Question 20

multiple joint deformities and contractures at birth
fatal in 50% new borns

Answer 20

arthrogryposis multiplex congenita

Question 21

arthrogryposis multiplex congenita cause

Answer 21

damage to SC anterior horn cells during development which leads to decreased fetal movement

Question 22

arthrogryposis multiplex congenita
be aware of during exam:

Answer 22

movement will be resricted in many joints, contractures may be fixed/rigid - do not force