Peds

Question 1

Osteochondrosis

Answer 1

Radiographically: Growth center looks
fragmented or sclerotic
Can be from a variety of causes:
spontaneous, ischemia, trauma
Symptoms; pain and stiffness
Children or teens

Question 2

Legg Calve Perthes

Answer 2

Osteochondritis of the femoral head
more common in boys
5-16 years of age
increases the risk of developing osteoarthritis

Question 3

Osgood-Schlatter’s

Answer 3

Tibial tuberosity
More common in boys
Usually seen between the ages of 10-15

Question 4

Freiberg’s Infraction

Answer 4

Freiberg’s may be due trauma, and vascular insults
 Painful collapse of the head of the 2nd metatarsal
 Women to men by 5:1
 Usually adolescents
 Almost always unilateral

Question 5

Sever’s

Answer 5

calcaneus at the site of insertion
Also known as calcaneal apophysitis
8-12 yrs. old

Question 6

Kohler’s

Answer 6

Navicular
Usually between 6 – 9 yrs. old

Question 7

Iselin’s

Answer 7

5th metatarsal base
Occurs in children between 8-13 years
most often seen in physically active boys

Question 8

Vertical Talus

Answer 8

Rigid rocker-bottom flatfoot
Characteristic radiographic feature is a dorsal
dislocation of the navicular on the talus
Talus appears very declinated

Question 9

Metatarsus adductus

Answer 9

There are 4 types:
 Common MA
 Complex MA (met adductovarus)
 Skew foot
 Complex skew foot (serpentine foot)

Question 10

Talipes equinovarus (Clubfoot)

Answer 10

TC angle on DP view
is very decreased
1st met position is
grossly in varus
much more than in
met adductus
 Significant forefoot
varus

Question 11

Calcaneal Valgus

Answer 11

Most common congenital abnormality
Result of intrauterine position (foot is pushed
against anterior aspect of leg)
Foot is maintained in abduction, eversion and
dorsiflexed position
forced plantarflexion lateral x-ray view is recommended in these cases.

Question 12

Dx

Answer 12

Pseudo-epiphysis

Question 13

Dx

Answer 13

Bipartite epiphysis

Question 14

dx

Answer 14

cleft

Question 15

Dx

Answer 15

Multiple ossification centers

Question 16

Treves

Answer 16

fibular sesamoid

Question 17

Renanders

Answer 17

tibial sesamoid

Question 18

busckes

Answer 18

cuneiforms

Question 19

diaz

Answer 19

talus

Question 20

lance

Answer 20

cuboid

Question 21

thiemanns

Answer 21

phalanges

Question 22

Dx

Answer 22

metatarsus adductus

Question 23

Dx

Answer 23

Vertical Talus

Question 24

Dx

Answer 24

Talipes Equinovarus/Club foot
3 components:
 Equinus
 Adductus
 Varsus
 Forced dorsiflexion lateral can be helpful in
determining severity

Question 25

Dx

Answer 25

Calcaneal Valgus
 Most common congenital abnormality
 Result of intrauterine position (foot is pushed
against anterior aspect of leg)
 Foot is maintained in abduction, eversion and
dorsiflexed position