Pediatric Orthopedics: Flashcards
Orthopedic Milestones
Duchenne’s Muscular Dystrophy
Erb’s Palsy
Mnemonic: C5-6, Er65
Erb versus Klumpke’s
(Erb’s) palsy refers to paralysis of the upper brachial plexus. - waiter’s tip
(Klumpke’s) palsy refers to paralysis of the lower brachial plexus. - claw hand
Club Foot
- Management includes serial casting (Ponseti method) followed by heel cord release and nighttime bracing x 2 years
- Surgical correction occurs at 9-12 months, if needed
Developmental Dysplasia of the Hip
Intoeing
A 6-year-old female is brought to your office for evaluation. She was born at 39 3/7 weeks by NSVD without complication. She has met all orthopedic developmental milestones. Her mother notes that she has been more clumsy at recess, occasionally falling when running. On examination you note that her patellae face forward, and her feet point inward; there is no joint or limb tenderness or swelling; her neurological exam is normal. Which one of the following would be most appropriate?
A. Continued observation
B. Foot stretching exercises
C. Physical therapy
D. Orthotics
E. Night splints
A. Continued observation
90% resolve by age 8 PT, orthotics, splints are not effective
Femoral anteversion
Transient Synovitis
Transient Synovitis versus Slipped Capital Femoral Epiphysis versus Legg-Calvé-Perthes
Slipped Capital Femoral Epiphysis
Obesity is a major risk factor.
the femoral head (the “ball” at the top of the thighbone) has slipped slightly off the thighbone. (It may help to picture a scoop of ice cream slipping off of a cone.) T
Legg-Calvé-Perthes
occurs when blood supply to the ball part (femoral head) of the hip joint is temporarily interrupted and the bone begins to die. This weakened bone gradually breaks apart and can lose its round shape.
