normal variants of growth Flashcards
state the 5 ‘s’ of normal variations of growth
symmetrical deformity
no symptoms
no underlying systemic illness
no underlying skeletal dysplasia
no stiffness on examination
common normal variants of growth 6
in-toeing
out-toeing
knock knees
bow legs
flat feet
curly toes
who gets osgood schaltters syndrome
occurs in boys age 11-12 who are phsyically active
presentation of osgood schaltters syndrome
pain over tibial tuberosity at the inseriton of the paterallrar ligament
may be accompanised by swelling and local tenderness
*IF PAIN NOT OVER THIS AREA THEN MORE SERIOUS CAUSE SHOULD BE EXCLUSED
management of OSGOOD schaltters syndrome
activity restriction and resolution of symptoms at skeletal maturity
cause of anterior knee pain 1
unknown
-minority assocaited with patellar tracjing abnormalities occuring with knee movements
presentation anterior knee pain
felt on the front of the knee
-may radiate to the back of the joint
aggravated by activities such as squatting, stairs and sitting with the knee flexed for prolonged periods of time
management of anterior knee pain
activity modification to avoid precipitiating fractors
-quad strengthening exercises
-pain tends to come and go through adolescences
who can pull there elbow and when
toddlers
-after acute longitudinal traction to the arm
-child will cry and refuse to move elbow
managemnt of a pulled elbow
radial head partially slips from the enfolding annular ligamanet
-reducution is effected by supination and pronation of the forearm with the elobow flexed
important point regarding normal variants of grwoth in childhood
if a self-limiting dianosis doesnt get better-> changes its features or gets worse parents shoudl be encouraged to return for review
-diagnosis may be wrong
point regarding ‘growing pains’ in children
-lazy label appield to variety of MSK pains in childhod
-not a medical diagnosis
-serious causes should be excluded
