Peds MSK Flashcards
Developmental milestone: 9 months
Pulls to stand, pincer grasp
Developmental milestone: 12 months
stands / walks independently, throws ball
Developmental milestone: 2 years
climbs steps: 2 feet at a time, kicks ball,
Developmental milestone: 3 years
stands on 1 foot, 1 foot per step
Name most common fatal MSK disease in children
DUchenne’s Muscular Dystrophy
- age 6 to 7
- calf pseudohypertrophy
- more common in DUdes
Syndactly vs polydactyly
Syn = web fingers = most common congenital abnormality Poly = extra digit
Which hip does developmental dysplasia of the hip occur?
LEFT hip
- most common: girls, first born, breech
- PAVLICK harness for the HIP
Which method is used to cure club foot?
serial casting (Ponseti), surgery at 9-12 months
Name most common bone tumors
Osteosarcoma (M)
Ewings sarcoma (M)
Osteochondroma (B)
Non-ossifying Fibroma (B)
3 facts on osteosarcoma
- most common childhood bone cancer
- physis of long bones: knees and shoulder
- <19 years old
3 facts on ewings sarcoma
- long bones
- teenage years
- 2nd most common malignant bone tumor
3 facts on non-ossifying fibroma
- most common benign bone tumor
- distal femur or distal tibia
- resolves with skeletal maturity
3 facts on osteochrondroma
- 2nd most common
- solitary or multple
- grows as child grows, diagnosed at age 10-30
Difference between metatarsus adductus and internal tibial torsion and femoral anteversion? What pediatric findings do they cause?
- MA: foot faces inward, knees face forward - resolves by 1 year
- ITT: same as above, resolve by 8
- FA: both feet and knees face inward, usually resolves by 9-10, surgery if not
Name common hip pain / pathology in children (4)
Transient synovitis / septic joint
Slipped Capital Femoral Epiphysis
Legg-Calve-Perthes
Osgood Schlatter
