Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Peds > Peds Orthopedics > Flashcards

Peds Orthopedics Flashcards

1
Q

Babies usually have increased ROM where?

A

shoulder ext/rotation
Wrist Flexion
Hip abd/rotation
Ankle DF/inv/ev

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Babies usually have decreased ROM where

A

knee and hip ext

ankle PF

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

femoral head facing forward

back?

A

anteversion

retroversion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

anteversion puts baby in ____.. what happens when they WB?

A

ER

toe in.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is developmental progression of varus to valgus?

A

newborn: Varum
6 mo: mild varum
1-2 y/o: straight legs
2-4:genuvalgum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

When is valgus not normal?

A

after 6 y/o

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

most common form of episodic MS pain in kids 3-12 y/o with no signs of inflammation

A

growing pains.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are symptoms of growing pains?

A
  • pain in shin/calf/thigh/popliteal fossa
  • Bilateral
  • only lasts a bit
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

how do you resolve growing pains?

A
  • Stretching
  • Massage
  • Time
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are the types of injuries?

A

Fx
Joint injury
Muscle.

single/repetitive trauma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Reasoning for repetitive macro trauma?

A

training error
imbalance
anatomical alignment
footwear

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Types of Fx?

A 
Growth plate (usually femur)
STress Fx: seen 6-8 weeks post onset
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

in children, what is seen before tendonitis

A

avulsion Fx.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What are things to take into consideration with sports screening?

A
  • assess maturity/fitness
  • be specific to sport
  • Drug use
  • dietary abuse.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are some orthopedic issues during infancy?

A

Congenital Dislocation
Metatarsus adducts
Talipes equinovarus.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

how many grades are there for congenital dislocation

A

5.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

due to a a tight SCM, stuck in lateral flexion to same side and rotation to opposite

A

Developmental Muscular Torticollis.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What are causes of Developmental muscular torticollis?

A

-tumor (1/3)
-fetal malposition
-uterine compression
-

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Along with SCM, what are other impairment of torticollis?

A

upper trap/scalenes/hyoids/tongue/face muscles.

plagiocephaly
scoliosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What are functional limitations of torticollis?

A

affects righting reactions.

if very severe, affects ability to WB on ipsilateral UE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What is included in examination of torticollis?

A

ROM (including at rest)

  • Face/skull symmetry
  • Palpate SCM
  • Gross/fine motor development.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Interventions for Torticollis?

A

better to start before 1 y/o

  • stretch with traction
  • strengthen (visual tracking)
  • prolonged stretch
  • orthotics
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

How are skull deformities prevented?

managed?

A

parent edu
Prone playtime

helmets
mechanical adjustment.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Plagiocephaly
Scaphocephaly
Brachycephaly

A

wedge
long
flat.

25
Q

Caniosynestosis?

A

sutures fuse and skull will stop expanding. but brain still does. increasing pressure.

26
Q

cranial helmets used for

A

head shaping.

27
Q

What are childhood conditions?

A

Legg-calve perthes
slipped capital femoral epiphyses SCFE
osgood schlatters

28
Q

What is lego-calve pethes?

A

avascular necrosis of femoral head.

29
Q

signs of legs-calve perthes?

A

pain in groin/hip AND KNEEE.
shuts of glut med( trendelenberg)
lose abd and decrease IR

any knee pain always examine hip.

30
Q

sign of SCFE?

A

knee pain.

antalgic/lurch/outtoe

31
Q

What is osgood schlatter and what is signs?

what do you avoid?

A

separation of tibial tubercle

pain at sight

avoid jumping/squatting.

32
Q

What are the 2 avulsion fractures?

A 
osgood schlatter
sever disease (achilles)
33
Q

what are period of severs disease?

A

during growth spurts

pain at heel.

34
Q

how do you treat osgood and sever?

A

heel lift.
ice
reduct activity
stretch carefully

35
Q

Management for peds ortho?

A
  • alleviate pain
  • improve/maintain range
  • improve strength
  • improve functional skill.
36
Q

ages of scoliosis

A

infant <3
juvenile 3-puberty
adolescent at puberty
more common in female because of estrogen.

37
Q

progressive scoliosis curve is

A

increase of 5 degrees from 2 exams.

38
Q

What to look for in scoliosis screening

A 
shoulder levels
soap prominence
uneven waist
pelvic asymmetry
waist window
knee levels
adams bend test
lordosis/kyphosis
39
Q

how is scoliosis managed?

A

bracing after >25 deg.

  • strengthen trunk
  • flexibility laterally, trunk, shoulder.
  • respiratory management.
40
Q

blood clotting disorder

A

hemophilia

41
Q

impairments of hemophilia

A

usually in hinge joints/arthritis can develop from bleed.

pain
intramuscular bleed
peripheral nerve lesion
decreased range/strength
gait change
42
Q

how do you manage hemophilia?

A 
range them
splints
strengthen (NO low speed isokinetic
gait training (with muscle not joint)
43
Q

JRA

impairments?

A

rheumatoid arthritis.
before 16 >6 weeks

pain
jt deformity
weak 2ndary to pain
gait change

ADL and gait limited.

44
Q

management of JRA?

A 
no long lever arm ranges.
strengthen
protect alignment
theraband
hydrotherapy/bike.
45
Q

What a big danger of JRA?

A

AA sublux.

46
Q

Osteogenesis imperfecta

A

brittle bones.

fractures very common

47
Q

What are types OI

A

4 types . mild to severe

ambulatory-lethal

48
Q

Pathology of OI

A

decreased type 1 collagen

49
Q

Impairments of OI

A

decreased range
deformity
decreased strength
delayed development

50
Q

Management of OI

A 
Active range only!
strengthen with activity not resistance
orthotics.
parent edu
surgery.
51
Q

2 types of arthrogryposis congenita?

A

hip flex

frog leg

bot that blue feet.

52
Q

Why does arthrogryposis congenita happen?

A

lack of fetal mvmnt in 1st trimester

muscle turn to fibrous fatty tissue

53
Q

impairments of arthrogryposis congenita?

A

jt contractures

weak muscles and imbalance.

54
Q

management of arthrogryposis congenita

A 
stretch
strengthen
position
orthotic
surgery.
55
Q

what is PFFD

A

femur doesn’t form properly.

either short or literally not there.

56
Q

What develops from PFFD

A

frog leg position
hip/knee contracture
leg length discrepancy

gets amputation/rotationplasty.

57
Q

in nonverbal kids

what are signs of discomfort during range

A

noisy breathing
facial expression
tension at end range
fidgeting.

58
Q

children with disability more likely to be

A

abused

neglected

Peds (25 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions