Peds Ortho Flashcards

1
Q

What age is legg-calve perthes disease found

A

5-8 years

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2
Q

what is legg-calve perthes disease

A

avascular necrosis of the femoral head

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3
Q

SSx of legg-calve perthes disease

A

pain in the groin or knee, antalgic gait

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4
Q

what is the gold standard of diagnosis for legg-calve perthes

A

x-ray with an AP/frog-leg lateral

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5
Q

what is developmental dysplasia of the hip

A

hip development does not develop

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6
Q

what are mechanical factors of development dysplasia of the hip

A

breech, toricollis, metatarsus adductus, congenital genu recurvatum

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7
Q

what are the risk factors that need an ultrasound for development of dysplasia of the hip

A

first born, female, breech, family history

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8
Q

PE of DDH

A

asymmetric thigh folds, + galeazzi’s signs, limited abduction

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9
Q

what is the MC treatment of DDH

A

Pavlik harness

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10
Q

What is a SCFE

A

Slipped capital femoral epiphysis

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11
Q

At what age is SCFE found

A

10-14 yo

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12
Q

What is the PE of SCFE

A

limited ROM, internal rotation, flexion and abduction limited

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13
Q

What is the goal of tx for SCFE

A

prevent further slipping

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14
Q

what is the most common cause of apophyseal injury and chronic knee pain

A

osgood-schlatter’s disease

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15
Q

SSx of osgood-schlatter’s disease

A

tender prominent tibial tubercle, pain with knee extension against resistance,

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16
Q

What population group is affected by osgood-schlatter’s disease

A

young athletes

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17
Q

What is the presentation of Scheuermann’s kyphosis

A

disc narrowing, end plate irregularity, Schmorl’s nodes

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18
Q

What is defined as spinal asymmetry

A

less than 10 degrees

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19
Q

What population is idiopathic scoliosis most prominent in

A

Adolescent females

20
Q

What are the tx options for scoliosis

A

observation, brace, surgery

21
Q

What is the cause of neuromuscular scoliosis

A

muscle imbalance in growing spine

22
Q

What are the characteristics of nonambulatory neuromuscular scoliosis

A

long C shaped curves, pelvic obliquity

23
Q

When is surgery indicated in scoliosis

A

> 40-50 degrees that is either progressive or interfering with sitting; age >10 years

24
Q

What are the associated abnormalities congenital scoliosis

A

renal and cardiac

25
What is mesenchymal scoliosis associated with
connective tissue disorders
26
What is spina bifida
spinal column does not fully form
27
What is occulta spina bifida
incidental finding, without opening to environment, no tx necessary
28
What is aperta spina bifida
bony abnormalities with meninges, nerves, CSF open to environment, surgery within 48 hours
29
What are the ssx of flexible flat foot
straight or convex medial border to the foot, midfoot sag, hindfoot valgus, arch not present in nonweightbearing position, no Achilles tendon tightness
30
flexible flatfoot with short tendoachilles treatment
orthotics contraindicated, heel cord stretching, surgical lengthening
31
What is tarsal coalition
bony, cartilagenous or fibrous connection between 2 or more tarsal bones
32
What is the chief complaint of tarsal coalition
pain, restricted subtalar motion
33
Calcaneonavicular coalition treatment
4-6 weeks of casting
34
What is the deformity in clubfoot
hindfoot in equinus and varus, forefoot in supination and adduction, cavus
35
What is the ponsetti technique
correction of varus, adductus, and cavus; starts at birth; may need percutaneous achilles tenotomy
36
What is metatarsus varus/adductus
congenital adduction of forefoot at metatarsal joints
37
What is infantile blount's disease
tibia vara, occurs before 5 yo, progressive, more severe then late onset
38
What are the clinical features of infantile blount disease
obesity and lateral thrust
39
What is the brace time for infantile blount's disease
1 year
40
At what age is tx for infantile blount's disease
4 years of age
41
What is the normal age for genu valgum
2- 6 years
42
What is the presentation of genu valgum "knock knees"
age >10 years, tibiofemoral angle >15 degrees, intramalleolar distance > 10 cm
43
What is the MCC of in-toeing in early childhood
femoral anteversion
44
SSX of femoral anteversion
in-toeing gait, tripping over feet, medial rotation of patella
45
What is the most common cause of intoeing from age 1-3
tibial torsion
46
What is the tx of tibial torsion
splinting, braces, shoe modifications, exercises are NOT effective