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
deformity caused by leaving in plate on femur s/p ORIF shaft
valgus
- thus remove it once its healed
management of acetab in kid
place in traction
ORIF if doesn’t reduce < 2cm after traction
age for pediatric BBFF that triggers need for ORIF
older than 13
most common neuropraxia in monteggia fx
PIN
Scoliosis that requires going anterior and posterior
Myelodysplasia
Dystrophic NF
Myelodysplasia
- level which kid may be able to walk
L3
Unilateral cavus foot
MRI
- spinal pathology like tethered cord
When does odontoid ossification appear
when does dens physis close
appears -> 3 yo
dens fuses at 12 yo
Pediatric pelvic osteotomies for DDH
- open tritradiate
- closed triradiate
open -> Salter or triple
closed -> Ganz
“the triradiate is Ganz”
indications for endocrine workup in SCFE kid
< 10 yo
< 50%tile for weight
Tibial bowing in NF
- when to brace
DO NOT brace if they are NOT walking
When walking-> brace to prevent progression
When to treat external tibial torsion
- how?
when external > 40
supramal osteotomy
% growth of DR to radius
75%
asymptomatic perthes
This is Meyers dysplasia
- an abnormal development of the femoral head epiphysis which is a normal variant and no consequence
Lower extremity condition assoc with weird hand abnormalities
Tibial Deficiency
- preaxial polydactyly
minimal hours needed to wear brace for scoli success
13 hrs
In relation to menarche, when does growth stop for females
2 years after menarche
Risser 4
Peak growth velocity defined as
Risser 0, just before menarche
When is it OK to return to sport after Mono
after being asymptomatic for 3 weeks
OR 4 weeks from start of sx’s
some include absence of splenomegally
Duration to immobilize muscle laceration
3-5 days
Arcuate sign
avulsion off prox fibular head
- another sign of ACL tear
Whats important to do postop after total elbow
immobilize for 4 weeks to prevent wound complications
Max hole size alloweable for Outerbridge-Kashiwagi procedure
28 mm
Where do you avoid RFA for osteoid osteoma
fingers and nerve nerves
