Peds Ortho

Question 1

Metatarsus Adductus

Answer 1

Intoeing - Benign condition - resolves sponaneous

Question 2

Tibial Torsion

Answer 2

MC Intoeing - Observe and educate - resolve by 4

Question 3

Femoral Anteversion

Answer 3

Intoeing - 3-10 years - observe with parental reassurance (10 years)

Question 4

Club Foot

Answer 4

Adductus of the forefoot
Treat: Ponseti serial casting
Failure due to poor compliance with Denis-Brown Brace

Question 5

Patella Sleeve Fracture

Answer 5

High-riding patella or palapable gap at the distal end of the patella

Difficulty with active knee extension

Treat with surgery

Question 6

Nursemaid Elbow

Answer 6

Subluxation of annular ligament

Child holfs elbow in flexion with pain to lateral aspect of elbow

Treat: Supination Technique: pressure over radial head in supine and flexed

Question 7

Slipped Capital Femoral Epiphysis

Answer 7

Displacement through proximal femoral physis

Low F w/ IR and obligate ER w/flexion

Treat: Surgical screws

Question 8

OSD

Answer 8

Osteochondrosis of the proximal tibial apophysis at the junction of the patellar tendon and tibial tubercle

Treat: Resolution over time, NSAIDS

Question 9

Osteochondritis Dissecans

Answer 9

Posterolateral Medial Femoral Condyle

Nonsurgical

Question 10

Abuse

Answer 10

Abuse - Second most common cause of death in children
● Diagnosis suspected with pediatric injury:
○ Inconsistent with mechanism of injury
○ Delay in seeking care
○ Long bone (tibia, femur) fractures in nonambulatory child
○ Presence of highly specific fractures