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Pediatric Ortho Matching
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 +
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)
At what age do you typically see LCPD
school age. you wouldn't see this in infants or adolescents
Genu valgum
knock kneed
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 should kids stop walking on their tip-toes
by age 2
Ortalani
the contralateral hip is held still while the thigh of the hip being tested is abducted and getly pulled anteriorly.
Genu varum
bow legged
What is the management for intoing-outoeing
Resolve spontaneously in 3-4 months, stretching, cast correction , corrective shoes.
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