Peds ortho

Question 1

dev. dysplasia of hip - clinical picture and Tx

Answer 1

• uneven gluteal fold, clicks and easily dislocated

- pavik harness

Question 2

legg-perthes disease clinical picture and Tx

Answer 2

• avascular necrosis or capital femoral epiphysis
• age 6 with limping, antalgic gait
• typically cast and crutch

Question 3

slipped capital femoral epiyphysis

Answer 3

chubby boy at age 13

• internally rotates hip, and external in flexion
• surgical Tx to put in pins

Question 4

septic hip clinical picture and Tx

Answer 4

• little toddlers with febrile illness that refuse to move the hip - high ESR
• aspirate hip and remove pus

Question 5

acute hematogenous osteomyeltis

Answer 5

after febrile illness
Xray shows nil
need bone scan and ABx

Question 6

genu varum

Answer 6

normal to 3
after 3 most common is blount disease
- medial proximal growth plate disease - surgery

Question 7

genu valgus

Answer 7

normal ages 4-8

Question 8

osgood-schlatter disease

Answer 8

• teenagers with persisten pain over right tubercle

- immobilze for 2-6 weeks in cast

Question 9

club foot

Answer 9

at birth, both feet runed inward

- serial casting can fix many

Question 10

scoliosis

Answer 10

most common in teenage girls
- look with back flexed
may fix with braces, otherwise surgery

Question 11

only 2 fractures that cause major issues in kids

Answer 11

1. supracondylar fracture of the humerous

2. fractures involving the growth plate

Question 12

supracondylar fracture of the humerous issues and Tx

Answer 12

• hyperextension of elbow when fall on hand
• vessel and nerve injury can be issues
• volkmann contractures

Question 13

issues with growth plate fractures

Answer 13

if two growth plates are separated, then need to be very careful to realign the two