Pediatric Conditions Flashcards
What 3 deformities make up W Sitting
-Increased femoral anteversion
-internal tibial torsion
-metatarsus adductus
What is the most common congenital foot deformity?
-Metatarsus adductus
-Mainly seen in females and on the left side
What is the most common cause for in-toeing?
-Internal tibial torsion
What position is the foot in with Club foot?
-Plantarflexion at talocrural joint
-Inversion at subtalar
-Supination at midtarsal
What is the Ponseti Method?
The Ponseti method is a nonsurgical treatment for clubfoot that uses casts and braces to help your child’s foot function normally.
What is Genu Valgum
-excessive medial tibial torsion(knock-knees)
What is Genu Varum
-excessive lateral tibial torsion(Bowlegs)
What is the gold standard for treatment of Hip Dysplasia?
-Pavlik Harness
What hip positions should be maintained when using a Pavlik Harness?
-Hip flexion and Hip abduction
What is hip movements are decreased with Hip Synovitis?
Hip abduction and internal rotation
What is Etiology of Legg-Calve-Perthes?
-Blood supply interrupted to the femoral head
What age and gender is affected by Legg Calves?
2-13 years(Males)
What is seen during examination of Legg Calves?
-Psoatic Limp
-Patient moves in Hip Add, ER, Flex
What is Slipped Capital Femoral Epiphysis?
-Femoral Head is Displaced posteriorly and inferiorly in relation to femoral neck
What age is SCFE more seen in
Male: 10-17 years(greater incidence)
Female:8-15 years
Hip AROM is limited in which direction(s)?
-Abduction, Flexion, Internal Rotation
What type of gait is seen in patients with SCFE if chronic?
-Trendelenberg
What is the treatment for SCFE?
-Surgery(Operative internal fixation)
What is Osgood Schlatter Disease?
-an overuse condition or injury of the knee that causes a painful bump and swelling on the shinbone below the knee
When is Osgood Schlatter usually seen?
Males: 12-14
Females: 10-13
Treatment for Osgood?
Rest and Flexibility training
What is the most common causes for heel pain in children
-Sever’s Disease(calcaneal apophysitis)
What is Osteochondritis Dissecans?
-Separation of articular cartilage from underlyiing bone
What age is Osteochondritis Usually seen?
-12-15
What is Pes Planus?
Flat foot
What can causes Pes Planus?
-Excessive Pronation
-Ligamentous Laxitiy
-Muscle weakness
What muscle is affected with Torticollis?
-SCM(tight)
What is seen with Torticollis?
-Side Bending toward affected side
-Rotation away from affected side
What is Osteogenesis Imperfecta?
-Inherited disorder transmitted by autosomal dominant gene
-Bones become very thin
What type of exercise is recommended for Osteogensis Imperfecta?
Aquatic
What is Sponylolysis?
Fracture of pars interarticularis
What sign is seen with Spondyloysis?
-Scotty Dog
What is Spondylolisthesis?
Anterior or posterior slippage of one vertebra over another, following bilateral fracture of pars interarticularis
What test is used to diagnose Spondylolisthesis?
Stork Test(Gillet)
How do you perform Stork Test
the patient stands while the examiner palpates the posterior superior iliac spine (PSIS) with one thumb and palpates the base of the sacrum with the other thumb medial to the PSIS. The patient is then instructed to stand on one leg while pulling the hip of the side being palpated into 90° or more of hip flexion. The test is then repeated on the other side and compared bilaterally[
