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Flashcards in Exam II Deck (104)
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1

When can the infant raise their head prone?

2 months

2

When can the infant roll from prone to supine?

4 months

3

When can the infant sit using tripod position?

6 months

4

When can the infant crawl?

9 months

5

When can the infant stand without support?

12 months

6

What is a concern with early walkers?

more stress on bone causing genu varus

7

What is the Gower sign?

when a child rises from sitting to standing by placing hands on legs and pushing the trunk up

8

What does the gower sign indicate?

muscular dystrophy

9

What other issue is commonly seen with developmental hip dysplasia?

torticollis

10

What increases the risk of developmental hip dysplasia?

breech
intrauterine constraint

11

What characterizes a subluxation in acetabular dysplasia?

femur head remains in contact with acetabulum, but joint ligaments and capsule are stretched

12

What is the most common exam finding with developmental hip dysplasia?

decreased hip abduction

13

What are two orthopedic tests done to assess developmental hip dysplasia?

Barlow's
Ortolani's

14

What does Allis sign detect?

shortened femur
dDx: hip dislocation

15

What is the MC kind of scoliosis in girls?

idiopathic structural scoliosis

16

Which nerves are involved in Erb's Palsy?

C5/C6

17

What are some impaired findings in an infant with Erb's Palsy?

asymmetrical moro, biceps and radial reflexes

18

What is the MC foot problem in infants?

metatarsus adductus

19

Which two foot problems are due to intrauterine constraint?

-tibial torsion
-metatarsus adductus

20

Is "pes planus" normal in an infant?

yes, the longitudinal arch is obscured by a fat pad until 3yrs

21

Which part of the foot is involved in metatarsus adductus?

the forefood
(heel and ankle are not involved)

22

Which sitting position places stress on the joints and may cause intoeing & femoral anteversion?

reverse tailor position

23

What are some clinical findings for femoral anteversion?

-inc. internal hip rotation (>70)
-femurs twist medially
-patella faces inward

24

What are the 3 things you need to ask yourself when assessing and infant/child?

1. outside normal range
2. appropriate for their age
3. is it symmetric

25

What is the measurement for genu varum?

1 inch between knees

26

When should you evaluate a genu varum further?

-asymmetry of tibiofemoral angle
-space between knees >1.5 inches

27

What is the measurement for genu valgum?

1 inch between medial maleoli

28

When is genu valgum common?

2-4 years

29

When should you evaluate a genu valgum further?

-asymmetry of tibiofemoral angle
-space between knees >2 inches

30

What are some characteristics of Talipes Equinovarus?

-congenital defect of ankle and foot
-inversion of foot at the ankle
-plantar flexion
-bilateral involvement 30-50% of cases