Peds Ortho

Question 1

20 degrees internal rotation of tibia at birth. Neutralizes by 16mos

Answer 1

Tibial Torsion

Question 2

Arthritis, arthralgias, warmth, morning stiffness, decreased ROM in 1+ joints for at least 62wks.

Answer 2

Juvenile Rheumatoid Arthritis

Question 3

Dislocatable, subluxable hips.
Barlow/Ortolani Test
Early: Brace to maintain in reduced position and for time to “tighten”
Late: surgery

Answer 3

Congenital hip dysplasia

Question 4

Impairment of blood to femoral head–>avascular necrosis
Males 4-11yrs. Unilateral. PAINLESS limp & fatigue from walking.
Pain, limited internal rotation
Self-limiting

Answer 4

Legg calves perthes disease

Question 5

Club foot.

Plantar flexion, inversion, internal rotation, meatarsus adductus

Answer 5

Talipes equinovarus

Question 6

Swelling/mass at belly of SCM

Limited lateral bending away from affected side

Answer 6

Torticollis

Question 7

Lateral curvature of spine. Cobb angle >10. (40 surgery)
Uneven shoulders/scapula/hips/
Asymmetric and painless

Answer 7

Scoliosis

Question 8

Bowlegs

Answer 8

Genu varum

Question 9

Knock-Knee

Answer 9

Genu Valgus

Question 10

Knock-Knee

Answer 10

Genu Valgus

Question 11

Pigeon toed

Answer 11

Metatarsus Varus

Question 12

Internal rotation of femur–toeing in

Self-limiting

Answer 12

Femoral Anteversion

Question 13

Radial head subluxation.
Most common peds elbow injury
Acute pain, then subsides. Pain worse w/ mov’t. Elbow held flexed, slightly pronated. Tenderness over radial head

Answer 13

Nursemaid’s Elbow

Question 14

Commonly hematogenous seeding of staph auedeus or gonorrhea

Answer 14

Septic ARthritis

Question 15

PAINFUL limp. Hip pain (may refer to thigh or knee). Affected limb externally rotated, slightly shortened. Overweight.

Head of femur displaced medially and posterior ally to neck.
Separation of proximal femoral epiphysis through growth plate.

Answer 15

Slipped Capital Femoral Epiphysis (SCFE)