Pediatric Musculoskeletal Disorders Flashcards
s/s of compartment syndrome
pain, pulselessness, pallor, paresthesia, paralysis, pressure
tx of compartment syndrome
cast removal, ice, steroids, fasciotomy
traction considerations
let weights hang freely, neurovascular assessments, pin sites for infection
s/s of osteogenesis imperfecta
blue sclera, hearing loss, frequent bone breakage
interventions for osteo imperfecta
get help for cares, no weight bearing, PT/OT
pamidronate
bisphosphonate, increased bone density, prevents fractures
complications of osteo imperfecta
contractures, muscle weakness, malalignment
s/s of Legg-Calve-Perthes
limp, hip pain, limited ROM, one leg shorter than other
interventions for Legg-Calve-Perthes
NSAIDs, rest & bracing if under 6, surgery if over 6, non weight bearing activities
scoliosis screening
10-12 for girls, 13-14 for boys
tx for scoliosis under 20 degrees
none
tx for scoliosis 20-39 degrees
flexible bracing - pt must be compliant
tx for scoliosis over 40 degrees
surgery, infection risk
s/s of JIA
joint inflammation and pain, stiffness/soreness worst in morning, fever, rash, eye inflammation in exacerbations
labs for JIA
ANA titer, rheumatoid factor, ESR, WBC
interventions for JIA
warm compresses, ROM exercises, low impact exercise, discourage rest
maintenance JIA meds
DMARDs - methotrexate, sulfasalazine
TNF factors - infliximab, adalimumab
exacerbation JIA meds
NSAIDs, steroids
NSAID considerations
take with food, monitor renal fx, risk of ulcers/GI bleeding
how is muscular dystrophy diagnosed
absence of protein dystrophin
first signs of muscular dystrophy
difficulty running, climbing stairs, riding a bike
Gower’s sign
rises from the floor slowly, braces themselves, indicates MD
goals of MD
lessen strain on muscles, prevent constipation, contractures, atelectasis, pneumonia, skin breakdown, DVT, UTIs, etc.
Greenstick fracture
doesn’t fully snap, since pediatric bones are soft
interventions for fractures
immobilize, ice, pain meds, neurovascular assessment
