Peds MSK

Question 1

Arthrogryposis

Answer 1

severe joint contractures, nonprogressive disease - progressive contractures

Question 2

Torticollis

Answer 2

lateral cervical flexion, contralateral cervical rotation

Question 3

Scoliosis

Answer 3

lateral curvature of spine greater than 10 degrees

Question 4

Spondylolysis

Answer 4

stress fracture of pars interarticularis

Question 5

Spondylolisthesis

Answer 5

anterior translation of affected vertebral body

Question 6

Erb’s Palsy

Answer 6

C5-C6 scapular and UE, waiters tip

Question 7

Klumpke’s Palsy

Answer 7

C7-T1, wrist and hand

Question 8

Sprengel’s Deformity

Answer 8

congenital elevation of scapula due to attachment to spinal column (can’t abduct)

Question 9

Scapular Dyskinesis

Answer 9

abnormal GH rhythm due to scapular weakness, tightness

Question 10

Little League Shoulder

Answer 10

salter Harris type 1 fracture of proximal humerus

Question 11

Multidirectional Instability

Answer 11

secondary to capsule, ligament or muscle injury

Question 12

Bankart Lesion

Answer 12

Avulsion of anterior inferior GH ligament and labrum

Question 13

SLAP lesion

Answer 13

superior labrum anterior and posterior lesion due to downward force or fall on lateral shoulder

Question 14

FOOSH

Answer 14

fall on an outstretched hand, AC joint sprain, proximal humerus fractures

Question 15

Hill Sach’s Lesion

Answer 15

bony defect on posterior lateral aspect of humeral head, compression fracture, common with FOOSH

Question 16

Little League Elbow

Answer 16

medial epicondyle traction injury

tendinitis, Avulsion, calcification, sprain, hypermobility

Question 17

Supra condylar fracture of humerus

Answer 17

MOI: forceful extension, elbow dislocation possible

Question 18

Radial Head fracture

Answer 18

FOOSH, nursemaids

Question 19

Hip Dysplagia

Answer 19

abnormal development or growth, Barlow and Ortolani maneuver

Question 20

Legg-calve perthes disease

Answer 20

idiopathic AVN of femoral head, decrease IR and abduction, tiny active kids

Question 21

Septic Arthritis

Answer 21

acute, red hot swollen joint

Question 22

Slipped Capital Femoral Epiphysis “SCFE”

Answer 22

injury to proximal femoral epiphysis and slips off femoral neck, KNEE PAIN, bilateral

Question 23

Femoroacetabular Impingement

Answer 23

Cam: femoral head too big
Pincer: acetabulum too big

Question 24

Femoral Anteversion

Answer 24

femoral head anterior to frontal plane, in toeing, IR>ER

spastic diplegia cerebral palsy

Question 25

Femoral Retroversion

Answer 25

femoral head posterior to frontal plane, out-toeing, ER>IR

duchenne’s muscular dystrophy

Question 26

Blout’s disease

Answer 26

tibia Vara, abnormal inhibited growth of medial tibia

Question 27

Proximal Focal Femoral Deficiency

Answer 27

absence or hypoplagia of proximal femur

Question 28

Osgood Schlatter Syndrome

Answer 28

traction apophysitis of tibial tuberosity

Question 29

Sinding Larsen Johansonn Syndrome

Answer 29

traction apophysitis of inferior pole of the patella

Question 30

Sever’s Disease

Answer 30

traction apophysitis of posterior calcaneus

Question 31

Osteochondritis Dessicans

Answer 31

lesion of subchondral bone and articular surface of joint

Question 32

Tibial Spine Fracture

Answer 32

ACL attachment

Question 33

Osteogenesis Imperfecta

Answer 33

brittle bone

Question 34

Tibial Tuberosity Fracture

Answer 34

patellar tendon

Question 35

Metatarsus Adductus

Answer 35

forefoot adducts, hindfoot slight valgus, full DF

Question 36

Calcaneovalgus

Answer 36

excess DF, forefoot lateral, hindfoot valgus

Question 37

Clubfoot

Answer 37

forefoot adductus, hindfoot varus, PF

Question 38

Tarsal Coalition

Answer 38

fusion of tarsal bones, extreme flatfoot, limited ROM, decreased PF strength

Question 39

horners palsy

Answer 39

T1, eye drooping