Childrens orthopaedics - congenital and neuromuscular conditions - 30/10/18 Flashcards

1
Q

What are some congenital orthopaedic conditions?

A

CLubfoot
Rocker bottom foot
Neurofibromatosis
Skeletal dysplasia

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

What are some neuromuscular conditions?

A

Cerebral palsy
Tip toe walking
Duchenne muscular dystrophy
High arch

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

What are the features of clubfoot?

A

Cavus
Adductus
Varus
Equinus

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

What are the characteristics of clubfoot?

A
Birth defect
Boys
Idiopathic
Assoc with 
Myelomeningocoele
Dwarfism
Tibial hemimelia
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

How is clubfoot treated?

A

Ponseti casting

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

What is rocker bottom feet?

A

Irreducible dislocation of talus on navicular
Round plantar surface
Equinus hindfoot

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

What is neurofibromatosis?

A
COngenital
Extremities
Spine
Sking
NF1 most common
AD
NF1 gene
Chromosome 17
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is the diagnostic criteria for NF?

A
> cafe au lait spots
> 2 neurofibromas
Freckling axilla
Optical glioma
>2 lisch nodules
Cortical thinning
First degree relative affected
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What are skeletal dysplasias?

A

Dwarfism
Shortening of involved bone
Short stature

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is the most common form of skeletal dysplasia?

A
Achondroplasia
FGFR3
AS
Normal trunk
Frontal bossing
Genu varus
Normal intelligence
Motor delay
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is cerebral palsy?

A
Non progressive neuromuscular disorder
Injury to immature brain
Prematurity
Perinatal
Features
UMN
Early - abnormal muscle forces
Late - Contractures/Fixed deformity/dislocation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What are some cerebral palsy treatments?

A
Benzodiazepines
Baclofen
Selective dorsal rhizotomy
Botulinum
Toxin
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

DMD

A
Commonest MD
Only Boys
Inherited
Progressive muscle weakness
Absdence dystrophin protein
Replacement
of muscle with fibrofatty tissue
Presentation 2-5 years
Keep abulatory 
Decrease contractures
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What are the features of DMD?

A
Muscle weakness
Clumsy walking
Positive gowers sign
Scoliosis
Diagnosis
CPK/muscle biopsy
Poor prognosis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

WHat is cavus foot?

A

Elevated longitudinal arch and varus hindfoot

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

Causes of cavus feet?

A
Idiopathic
Familial
Neurological disorder
Polio
Cerebral palsy
Carcot marie tooth
17
Q

How is cavus feet assessed?

A

X-ray

Coleman block test

18
Q

How is cavus foot surgically managed?

A

Soft tissue - flexible deformities

Bony - Non flexible