Flashcards in Orthopedics - aa Deck (23)
Painless limp, lurch to affected side (Trendelenberg sign) with asymmetric skin folds of legs.
Congenital hip dysplasia
Adducting the bent legs of infant with downward pressure that dislocates the hip.
Abducting the bent legs of infant with upward traction that realigns the head of the greater trochanter.
Idiopathic avascular necrosis of the proximal femoral epiphysis
Painful limp in 4-8 year old
Painful limp in obese 11-12 yo boy
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
Treatment for Legg-Calve-Perthes?
If bone age < 5 years, maybe none required.
Brace; rarely surgery
Treatment for talipes equinovarus?
Treatment for SCFE?
Immediate surgery; stop weight-bearing
Treatment for tibial torsion?
benign; resolves spontaneously with growth
Acute torticullis may follow URI or mild trauma in children.
Treatment for torticullis?
Passive stretching is usually effective.
What is the most common cause of scoliosis?
80% are idiopathic
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
When are genu varum & valgum normal?
~Genu varum is normal from infancy - 3 yo
~Genu valgum is normal from 3 yo to 8 yo
What is the treatment for metatarsus varus?
Majority resolve spontaneously; maybe serial casting & corrective shoes
What is the treatment for femoral anteversion?
Subluxation of radial head as a result of being lifted/pulled by hand.
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.
How long must arthritis with pain, swelling, warmth, tenderness, morning stiffness, and/or decreased ROM last in order to be considered juvenile rheumatoid arthritis?
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