Peds F&A Flashcards
Correction of equinus 1st in clubfoot causes
rockerbottom foot
Physes locations with high incidence of growth arrest in kids
Distal radius/ulna
Distal femur
the 3 zones of hypertrophy
Maturation
Degeneration
zone of provisional calcification
Obstetric Brachial Plexopathy
- flexion contracture treatment
< 40 degrees -> night time splinting
> 40 degrees -> serial casting
refractory => release anterior capsule, lengthen biceps and BR
Management of pediatric femoral head/neck fx’s
< 4yo -> closed reduction and spica cast for all delberts
> 4yo -> closed reduction pinning for Delberts 1,2,3
Delbert 4 and > 4 yo -> pediatric DHS
Treatment for dorsal bunion after clubfoot correction
Tx TA to middle cuneiform (b’c TA is overpwering peroneus longus)
Treatment for dynamic supination on clubfoot
Tx TA to lateral cuneiform or cuboid
1 causing septic joint after Varicella infection
GAS
Abx when Lymes gets really bad (heart, brain, multiple joints involved)
Ceftriaxone
Joint most likely to have hemarthrosis in Hemophiliac
- % Factor that needs replaced to control bleeding
- % factor needs replaced b4 going to OR
Knee
40-50% factor replacement controls bleeding
100% replacement needed b4 going to OR
Reasons kid with Klippel-Feil can’t play sports
fusion includes C2
Limited neck ROM
Young kid has tibia vara BUT also has renal osteodystrophy
- what do you do with the varus
Treat the renal condition before addressing varus
rate of angular correction with wrist deformity after DR fx
1 degree per month
Imaging s/p hip reduction in kid
MRI (obviously avoid CT)
- need to see if there is any soft tissue in joint
asymptomatic cubitus valgus after lateral condyle fx
- treatment ?
Nothing
only do osteotomy if they tardy ulnar n palsy
Lateral condyle fx unique scenarios
- asymptomatic nonunion
- symptomatic nonunion
asymptomatic -> observe
symptomatic-> ORIF