Peds Musculoskeletal Flashcards by Wendy Pitts

Slipped Capital Fermoral Epiphysis (SCFE) is?

Weak epiphyseal plate of femur –»

Displaces femoral head

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Slipped Capital Fermoral Epiphysis (SCFE) presentation?

Hip, thigh or knee pain

PAINFUL limp

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Slipped Capital Fermoral Epiphysis (SCFE) epidemiology?

Boys 10-16 yo

C in black, obese, athlete

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Slipped Capital Fermoral Epiphysis (SCFE) imaging findings?

Tx?

Posterior medial displacement

Pinning

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Osgood-Schlatter Disease is?

Tibial tubercle pain and swelling from injury or overuse

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Osgood-Schlatter Disease presentation?

Anterior knee pain/swelling over tubercle
Relieved with rest
Worse with use

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Osgood-Schlatter Disease imaging findings?

U normal

P fragmentation of tubercle

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Osgood-Schlatter Disease tx?

Rest x several months

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Legg-Calve-Perthes Disease is?

Aseptic necrosis of hip –»
Loss of blood to trabecular bone –»
Collapsed femoral head

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Legg-Calve-Perthes Disease presentation?

Pain, limp

Loss of internal rotation and abduction

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Legg-Calve-Perthes Disease imaging?

MRI - TOC

XRay

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Legg-Calve-Perthes Disease tx?

Protected weight bearing for kids

Alendronate (fosomax)

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Salter-Harris Fracture I?

Through epiphyseal (growth) plate
(horizontal thru plate)

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Salter-Harris Fracture II?

Through epiphysis and metaphysis (above the epi)

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Salter-Harris Fracture III?

Through epiphysis and articular surface (below the epi)

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Salter-Harris Fracture IV?

Through metaphysis, epiphysis and articular surface (thru all 3)

Salter-Harris Fracture V?

Crush of epiphysis

Nursemaid Elbow is?

Subluxation of radial head

Annular ligament displaced between radial head and capitellum

Nursemaid Elbow mechanism of injury?

Pulling on up stretched arm

Nursemaid Elbow presentation?

Protecting arm, flexed elbow with forearm pronated

Juvenile Rheumatoid Arthritis types?

Systemic
Pauciarticular
Polyarticular

Juvenile Rheumatoid Arthritis: Systemic presentation?

High fevers
Myalgias
Polyathralgias
Salmon-pink rash in p.m. w/ fever
Few arthralgias

Juvenile Rheumatoid Arthritis: Systemic complications?

Hepatospenomegaly
LAD
Leukocytosis
Pericarditis
Myocarditis

Juvenile Rheumatoid Arthritis: Pauciarticular presentation?

<5 med or large joints

Juvenile Rheumatoid Arthritis: Pauciarticular complications?

Uveitis

Juvenile Rheumatoid Arthritis: Polyarticular presentation?

5+ small or large joints AND | Systemic: low fever, fatigue, RA nodules, anemia

Juvenile Rheumatoid Arthritis dx?

None specific for JRA - RF (+ result at greatest risk for adult RA) - anti-CCP - ANA - ESR - CRP

Juvenile Rheumatoid Arthritis tx?

NSAIDS Occupational Therapy Methotrexate Most resolve

Osteosarcoma U seen when?

10-20yo during growth spurts

Osteosarcoma U seen where?

Metaphyses of long bones | U femur

Osteosarcoma presentation?

Pain | +/- soft tissue mass

Osteosarcoma imaging?

X-Ray shows: Codman triangle Sunburst pattern

Muscular Dystrophy caused by?

U hereditary loss of dystrophin in kids

Muscular Dystrophy presentation?

Boys 3-5 yo Proximal mm weakness Gower’s sign (use arms to rise from floor) Lose ability to walk by 12 yo

Osteogenesis Imperfecta results from?

Collagen dysfxn

Osteogenesis Imperfecta presentation?

Multiple fractures Blue sclera Dental deformities Deafness

Osteogenesis Imperfecta tx?

Bisphosphonates (-dronate)