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Pediatric Ortho
Pediatric Orthopedic and Neuromuscular
Question | Answer |
---|---|
Ortalani | the contralateral hip is held still while the thigh of the hip being tested is abducted and getly pulled anteriorly. |
Barlow | adducting the hip while pushing the thigh posteriorly. If the hip goes out of the socket, it is called dislocatble and the test is + |
Genu varum | bow legged |
Genu valgum | knock kneed |
What are the 3 most common causes of intoing | Femoral anteversion (the femur is turned in), Tibial torsion (tibia is turned in), Metatarsus adductuc (bones deviated inward) |
What is the management for intoing-outoeing | Resolve spontaneously in 3-4 months, stretching, cast correction , corrective shoes. |
At what age should kids stop walking on their tip-toes | by age 2 |
What are DDx for growing pains | trauma, infection, tumors, bone lesions (cysts), collagen vasuclar disease 9JRA), LCPD, Osgood-Schlatter. |
What is LCPD (Legg-calve perth disease) | avascular necrosis of the proximal femoral head resulting from compromise of the tenuous blood supply to this area. LCPD usually occurs in children aged 4-10 years. The disease has an insidious onset and may occur after an injury to the hip |
At what age do you typically see LCPD | school age. you wouldn't see this in infants or adolescents |
What is Osgood-Schlatter | inflammation at the top tof the tibia. Where the tendon attaches to the tibiai. Knee pain often confused with growing pain. |
What causes HA in children | Pharyngitis (gropu a beta hemolytic strep), mononucleosis |