Peds F&A Flashcards

1
Q

Correction of equinus 1st in clubfoot causes

A

rockerbottom foot

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2
Q

Physes locations with high incidence of growth arrest in kids

A

Distal radius/ulna

Distal femur

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3
Q

the 3 zones of hypertrophy

A

Maturation
Degeneration
zone of provisional calcification

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4
Q

Obstetric Brachial Plexopathy

- flexion contracture treatment

A

< 40 degrees -> night time splinting

> 40 degrees -> serial casting

refractory => release anterior capsule, lengthen biceps and BR

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5
Q

Management of pediatric femoral head/neck fx’s

A

< 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

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6
Q

Treatment for dorsal bunion after clubfoot correction

A

Tx TA to middle cuneiform (b’c TA is overpwering peroneus longus)

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7
Q

Treatment for dynamic supination on clubfoot

A

Tx TA to lateral cuneiform or cuboid

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8
Q

1 causing septic joint after Varicella infection

A

GAS

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9
Q

Abx when Lymes gets really bad (heart, brain, multiple joints involved)

A

Ceftriaxone

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10
Q

Joint most likely to have hemarthrosis in Hemophiliac

  • % Factor that needs replaced to control bleeding
  • % factor needs replaced b4 going to OR
A

Knee

40-50% factor replacement controls bleeding
100% replacement needed b4 going to OR

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11
Q

Reasons kid with Klippel-Feil can’t play sports

A

fusion includes C2

Limited neck ROM

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12
Q

Young kid has tibia vara BUT also has renal osteodystrophy

- what do you do with the varus

A

Treat the renal condition before addressing varus

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13
Q

rate of angular correction with wrist deformity after DR fx

A

1 degree per month

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14
Q

Imaging s/p hip reduction in kid

A

MRI (obviously avoid CT)

- need to see if there is any soft tissue in joint

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15
Q

asymptomatic cubitus valgus after lateral condyle fx

- treatment ?

A

Nothing

only do osteotomy if they tardy ulnar n palsy

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16
Q

Lateral condyle fx unique scenarios

  • asymptomatic nonunion
  • symptomatic nonunion
A

asymptomatic -> observe

symptomatic-> ORIF

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17
Q

deformity caused by leaving in plate on femur s/p ORIF shaft

A

valgus

- thus remove it once its healed

18
Q

management of acetab in kid

A

place in traction

ORIF if doesn’t reduce < 2cm after traction

19
Q

age for pediatric BBFF that triggers need for ORIF

A

older than 13

20
Q

most common neuropraxia in monteggia fx

A

PIN

21
Q

Scoliosis that requires going anterior and posterior

A

Myelodysplasia

Dystrophic NF

22
Q

Myelodysplasia

- level which kid may be able to walk

A

L3

23
Q

Unilateral cavus foot

A

MRI

- spinal pathology like tethered cord

24
Q

When does odontoid ossification appear

when does dens physis close

A

appears -> 3 yo

dens fuses at 12 yo

25
Q

Pediatric pelvic osteotomies for DDH

  • open tritradiate
  • closed triradiate
A

open -> Salter or triple

closed -> Ganz

“the triradiate is Ganz”

26
Q

indications for endocrine workup in SCFE kid

A

< 10 yo

< 50%tile for weight

27
Q

Tibial bowing in NF

- when to brace

A

DO NOT brace if they are NOT walking

When walking-> brace to prevent progression

28
Q

When to treat external tibial torsion

- how?

A

when external > 40

supramal osteotomy

29
Q

% growth of DR to radius

A

75%

30
Q

asymptomatic perthes

A

This is Meyers dysplasia

- an abnormal development of the femoral head epiphysis which is a normal variant and no consequence

31
Q

Lower extremity condition assoc with weird hand abnormalities

A

Tibial Deficiency

- preaxial polydactyly

32
Q

minimal hours needed to wear brace for scoli success

A

13 hrs

33
Q

In relation to menarche, when does growth stop for females

A

2 years after menarche

Risser 4

34
Q

Peak growth velocity defined as

A

Risser 0, just before menarche

35
Q

When is it OK to return to sport after Mono

A

after being asymptomatic for 3 weeks
OR 4 weeks from start of sx’s
some include absence of splenomegally

36
Q

Duration to immobilize muscle laceration

A

3-5 days

37
Q

Arcuate sign

A

avulsion off prox fibular head

- another sign of ACL tear

38
Q

Whats important to do postop after total elbow

A

immobilize for 4 weeks to prevent wound complications

39
Q

Max hole size alloweable for Outerbridge-Kashiwagi procedure

A

28 mm

40
Q

Where do you avoid RFA for osteoid osteoma

A

fingers and nerve nerves