Peds Flashcards
MCC of absence of radial pulse but normal cap refil
Brachial artery spasm
Isthmic spondylolysis
Hyperextension of lumbar spine makes pain worse
Progression of grade 1 or 2 is 5%
Chance for progression diminishes with age
Highest risk is prior to adolescent growth spurt
Increased in native americans
Supracondylar with absent pulse but perfumed hand
Closed reduction first
OCD lesion
Most common and test to order
Posterolateral aspect of medial femoral condyle Order MRI to determine stability Observe for 6 months Unstable-ORIF Stable- drill
Legg calve perthes disease
Presentation
XR findings
AVN
Sclerosis and subchondral lucency
Trendelenberg gait
Scfe
Abnormal head neck junction offset
Loss of hip flexion and IR
Physeal widening with pts with renal osteodysteophy
DDH XR finding
Absence of prox fem epiphysis secondary ossification center
Klippel-Feil syndrome
Sprengel deformity (elevation of scapula) with cervical spine abnormalities
Deafness, GU, cardio abnormalities
No contact sports
Sprengel deformity
Elevation of scapula
Tether to thoracic spine (omovertebral connection)
Coalition
Inheritance and gene mutation
AD
Fgfr 1,2,3
Get CT
Tx: obs with no symptoms, immobilization with symptoms, sx resection with interposition of fat bad or EDB
Kocher criterion
WBC greater then 12,000
Inability to bear weight
Fever greater then 38.5
Esr greater than 40
CRP greater then 2
Clubfoot
Gene
Bone deformities
PITXI mutation
Associated with absence of ant tib artery
Bone abnormalities include tarsal bones
Physeal zone most likely to fracture
Hypertrophic zone (weakest biomechanically)
What are Poland and sprengel deformity caused by
Interruption of embryonic blood supply
DDH
Less than 6 mo with reducible
Hip: pavlik harness, if fails after 4 weeks need rigid abd brace
Less than 18 mo: closed reduction with spica cast
Greater than 18 mo: open reduction with possible pelvic or fem osteotomy and hip spica
