Peds Flashcards
Injury to upper and/or lower brachial plexus at birth during vaginal delivery d/t forceful traction or head rotation with foreceps delivert or fracture of clavicle or humerus most commonly at C5 and C6
Obsteric Brachial Plexus Injury
Most common plexus injury at birth
Erb’s Pasly
Injury to C5-C6 roots at birth, presents like peripheral injury and affects muscles: rhomboids, levator scap, serratus anterior, subscapularis, supraspinatus, infraspinatus, teres minor, deltoid, biceps, brachialis, brachioradialis, supinator, wrist and finger extensors
Erb’s Palsy
Cookie test for OBPI
hand to mouth by:
- 2mo: normal recovery
- 3mo: excellent
- 4mo: fair to good
- 4-6mo: mod to poor
- >6mo: poor
Nonprogressive, congential neuromuscular syndrome affect 2 or more body areas as a result of lack of movement in utero or caused during the 1st trimester of pregnancy.
Classic presentation: flexion of UE and ext of LE or vice versa
Arthrogryposis Multiplex Congenita
Brittle bone disease, autosomal dominant and occasionally recessive
Osteogenesis Imperfecta
hindfoot valgus, excessive DF, corrects spontaneously
Calcaneovalgus
hindfoot valgus, excessive DF, corrects spontaneously
Calcaneovalgus
forefoot medially curved, hindfoot varus, PF, calf atrpphy
Talipes Equinovarus (Club Foot)
Risk factors or DDH
female > male
Estrogen and relaxin from pregnant mothers increases ligamentous laxity
Twins d/t tight packaging
Family history, first born male
Lack of amniotic fluid - Oligohydramnios
Frank breech w/ extended knees
Breech malposition, Ceserean section
Osteochondrosis (AVN of femoral head) in children < 12 years in active, skeletally immature boys
Legg Calve Perthes Disease
Displacement of femoral head on neck inferior and posterior, presents with limited hip flexion and lateral rotation
Slipped Capital Femoral Epiphysis
Displacement of femoral head on neck inferior and posterior, presents with limited hip flexion and lateral rotation
Slipped Capital Femoral Epiphysis
