Peds Flashcards
most common tumor a/w back pain in children
osteoid osteoma
idiopathic osteonecrosis of the hip
legg calve perthes
child presents with unilateral hip pain and has limp. how to dx and tx?
xray will be negative initially in legg-calve perthes. tx: maintain femoral head within acetabulum with splints. non-weight bearing until ortho referral
infants are born with laxity in hip joint that resolves within the first few weeks of life. How to diagnose developmental hip dysplasia in child?
If less than 6 weeks - PE is more diagnostic. If more than 6 weeks old, US or radiographs more accurate
Positive trendelenberg+ when hip is passively flexed, the thigh of the leg abducts and externally rotates. suggestive of
slipped capital femoral epiphysis
Most common malignancy to present with joint pain in children
leukemia
If leg length descrepancy less than 1 inch compared to greater than 1 inch?
less than 1 inch- use shoe lift. greater than 1 inch- refer to ortho for surgical procedure
displacement of capital femoral epiphysis through the physeal plate
slipped capital femoral epiphysis
Positive ortolani and barlo, galeazzi, and klisic test
developmental hip dysplasia
what position babies a/w developmental hip dysplasia
breech
child with activity related anterior knee pain. Pain with resisted knee extension. what do you think it is?
osgood schlatter
osteonecrosis of subchondral bone
osteochondritis dissecans
overuse injury that leads to the separation of the patellar tendon from tibial tubercle
osgood schlatter
Child presents with activity related knee pain, crepitus, catching/locking of joint. ROM intact. Wilsons sign positive.dx and tx?
osteochondritis dissecans. REFER.
knock knees aka
genu valgum
bow legs aka
genu varum
when are genu valgum and varum normal?
valgum- between 2-5 and its symmetric and asymptomatic. varus- birth to 24 months
abnormal finding in genu valgum
more than 8 mm. between medial malleolus (abnormal at any age)