Orthopedics - aa Flashcards Preview

Clin Med Pediatrics - Ashley & Lauren > Orthopedics - aa > Flashcards

Flashcards in Orthopedics - aa Deck (23)
1

Painless limp, lurch to affected side (Trendelenberg sign) with asymmetric skin folds of legs.

Congenital hip dysplasia

2

Adducting the bent legs of infant with downward pressure that dislocates the hip.

Barlow sign

3

Abducting the bent legs of infant with upward traction that realigns the head of the greater trochanter.

Ortolani sign

4

Idiopathic avascular necrosis of the proximal femoral epiphysis

Legg-Calve-Perthes disease

5

Painful limp in 4-8 year old

Legg-Calve-Perthes disease

6

Painful limp in obese 11-12 yo boy

SCFE

7

What three features are required to diagnose talipes equinovarus?

1. plantar flexion of foot at ankle
2. inversion deformity at heel
3. medial deviation of forefoot

8

Treatment for Legg-Calve-Perthes?

If bone age < 5 years, maybe none required.
Brace; rarely surgery

9

Treatment for talipes equinovarus?

Successive casting

10

Treatment for SCFE?

Immediate surgery; stop weight-bearing

11

Treatment for tibial torsion?

benign; resolves spontaneously with growth

12

Acute torticullis may follow URI or mild trauma in children.
T/F

True

13

Treatment for torticullis?

Passive stretching is usually effective.

14

What is the most common cause of scoliosis?

80% are idiopathic

15

You think you see lateral spine curvature in your patient.
What is the likely age and gender of this patient?
What test will you perform?
What action will you take?

~Girls 8-10 yo
~Forward bend test
~mild curve: watch and wait
~moderate: possibly bracing
~severe: surgery with fusion and rods

16

When are genu varum & valgum normal?

~Genu varum is normal from infancy - 3 yo
~Genu valgum is normal from 3 yo to 8 yo

17

What is the treatment for metatarsus varus?

Majority resolve spontaneously; maybe serial casting & corrective shoes

18

What is the treatment for femoral anteversion?

Normal variant.

19

Subluxation of radial head as a result of being lifted/pulled by hand.

Nursemaid's elbow

20

What will usually relieve a child's pain from nursemaid's elbow immediately?

Elbow is placed in full supination and slowly moved from full extension to full flexion. A click may be palpated at the level of the radial head.

21

How long must arthritis with pain, swelling, warmth, tenderness, morning stiffness, and/or decreased ROM last in order to be considered juvenile rheumatoid arthritis?

6 weeks

22

What is the most common type of juvenile rheumatoid arthritis?

Oligoarticular: arthritis of 4 or fewer joints; 20% of kids with this type develop uveitis

23

What are some causes of septic arthritis in kids?

~usually group B strep and S. aureus in kids younger than 4 mo
~gonorrhea in adolescents