Peds Ortho Flashcards
1
Q
Talipes equinovarus- Eti
A
- Clubfoot deformity
- 1:1000 births
- Congenital fixed foot deformity
- Idiopathic, neuro, other syndromes
2
Q
Talipes equinovarus- Sx
A
- Plantar flexion with varus deformity
3
Q
Talipes equinovarus- Dx
A
Clinical
4
Q
Talipes equinovarus- Tx
A
- Plaster casting to surgery, if severe
- Refer to ortho
5
Q
Genu varum- Eti
A
- Bowleg
- Normal from 0-2 yrs
- Seek tx if pain, unilateral
6
Q
Genu valgum- Eti
A
- Knock-kneed
- Normal from 2-8 yrs
- Seek tx if pain, unilateral
7
Q
Congenital dysplasia of hip- Eti
A
- Dislocated: 1: 1000
- Dislocatable: 1:1000
- Subluxable: 9:1000
8
Q
Congenital dysplasia of hip- Risk
A
- Fam hx
- Breech position
- Female 2-3x
- Risk factors are additive
9
Q
Congenital dysplasia of hip- Dx
A
- Hip ABduction
- Asymmetry
10
Q
Congenital dysplasia of hip- Tx
A
- Maintain hip in reduced position, reverses if tx early on
- Prolonged traction, casting and surgical repair if > 18 months
11
Q
Scoliosis- Eti
A
> 10 degree curvature measured by Cobb angle
- 3D deformity: curvature, kyphosis, lordosis and rotation of axial plane
- Idiopathic most common
- 9-10 yo female
12
Q
Scoliosis- Tx
A
- Observation 40 degrees
- Determine based on risk of progression and cobb angle
13
Q
Scoliosis- Sx
A
- Asymptomatic and painless
- Discrepancy in shoulder ht, scapulae, waist line and arm distance
14
Q
Scoliosis- Dx
A
- Adams forward bend test
- Rib & muscle prominence
- Looking at rotation only
- Standing x-rays- measure Cobb angle for severity
- Eval skeletal maturity- Risser sign
15
Q
Scoliosis- Tx
A
- Observation 40 degrees
- Determine based on risk of progression & cobb angle
16
Q
Torticollis- Eti
A
- Fibrosis & shortening of SCM
- Traumatic birth or positioning
- 20% also have hip dysplasia
