Pediatric Musculoskeletal Conditions Flashcards
When does valgus peak?
age 4
What is genu varum?
bowing of the legs– Blount’s disease
- must be corrected before age 4
What is genu valgum?
knock knees
how to correct genu valgum?
surgical- osteotomy
What is Wilms tumor associated with?
Hemihypertrophy - real limb length difference
How do you shorten the long limb?
Epiphysiodesis
Femoral deficiency treatment
can surgically lengthen or amputation+ prosthetic
van nes rotationoplasty
Tibial deficiency associated with ___
mirror foot
what are the 4 club foot deformities?
forefoot cavus ad adductus, hindfoot varus and equinus
club foot treatment?
ponseti foot casting - serial….CAVE sequence
what is tibial bowing associated with?
50% have neurofibromatosis
what is the deformity of the dislocated navicular on talus
congenital vertical talus
what is calcaneovalgus foot ?
hyperflexion of foot
flexible flat foot
no surgery unless pain
tarsal coalition presents as what?
non flexible flat foot
What is Kohler disease and how is it treated?
navicular collapse –> NEVER do surgery
usually self limiting
Disease marked by idiopathic avascular necroses of the femoral head
Legg -calves-perthes syndrome — happens over time
treatment of Leg-Calvep-Perth
keep femoral head round, through casting or brace
-Surgery if 50% collapse or impending loss of containment
Congenital hip dysplasia is _______ or ________ or the femoral head
dislocation or dysplasia
What is the Galeazzi test
look at limb lengths in CHD
Ortolani test?
the hip click test in congenital hip dysplasia
Normal reference for Ultrasound hips, up to 6 months of age
greater than 50% head coverage, up to 6 months of age
normal shenton’s line
arc of obturator foramen matches line of femoral neck
treatment for CDH
palvik harness- 90%
surgery after 18 months
