Peds Flashcards
Osteogenesis Imperfecta decrease is amout of?
Normal Type I collagen - COLA1a1, - Glycine substitution AR form is more severe SABER Shin, Bisphosphonates
Prophylactic slip indiations?
- Hypothyroidsm
. Girls Les than 10, boys less 12 - obesity
Mutation of Marfan/s syndrome?
Fibrillin-1
Best Prognostic indicator for good outcome after LCP?
<6 years old
- Fragmentation phase is 6months after initial. this is when lateral pillar classification determined
Bowed legs at 2 years, knocked knees at 3 yeaers
valugs until normal at 7 years
Angle of drennan (blounts) line from metaphyseal beaks perpendicular to axis of tibia?
> 16d has greater than 95* progression
- Operative is grter than 4 in ALL stages
NEED to correct to 10-15d of VALGUS
Distal Clavicle Physeal fractures pathoanatomy?
The clavicle displaces away from physis and periosteal sleeve, physis and sleeve stay attached to AC/CC ligaments
Clubfoot correction
- Cavus
- Adductus
- Varus
- equinus ( Achilles tenotomy)
Calcaneonavicular coalition Tx
- immobilization/ rest
- resection with EDB interposition
- No supple- arthrodesis
If talocalcaneal >50% arthrodesis/<50% resection
C1-C2 fusion for downs syndrome AAI
ADI
>5mm and myelopathic
or >10m
Neurmofibromatosis phenotype
-ANTERIOR LATERAL BOWING tibia (posterior medial- packaging problems) - Café-AuLait- SMOOTH (California) - Short SHarp Dytrophic Scoliosis - AD, Cutaneous neuromas
Progression of Thorcacolumbar kyphosis in Achondroplasia?
Will improve by 12-18 months when child ambulates
FGFR-3 mutation
FGFr2 mutation ?
Aperts
Klippel-feil syndrome and scapular deformity?
Sprengels deformity- difficulty in shoulder abduction
What is the cut-off age for AI to be less than 25d?
6months
Normal Alpha Angle (>60)
Normal Beta Angle <55
What to do if pavlik harness has failed after 3 weeks in child <6months old?
Convert to semi-rigid abduction orthosis
When do you do closed reduction and spica casting in DDH?
6-18months old
When do you do open reduction and spica casting of DDH?
> 18months old
Open reduction with femoral or acetabular osteotomies in children greater than?
2years old
What does vancomycin bind to?
D-Ala-D-Ala moieties in bacterial cell wall
What other work-up does Juvenile idiopathic Arthritis need (JIA?
Optho for anterior uveitis
Infantile tibia var indications for operative treatment?
- needs to have osteotomy by age of 4
When are barlow and Ortaloni maneuvers useless?
After the age of 6mo.
Breakdown of femoral shaft fracture treatment in kids?
<6months- Pavlick versus spica cast
7m-5 years- <2/3cm shortening- spica
>2cm short: ORIF/Flex Nails
6-11y: length stable- flexible nail
unstable- ORIF, ExFix
>11 year: Flex nails ,10lbs, Troch lateral entry