2nd Flashcards Preview

Ortho 4 > 2nd > Flashcards

Flashcards in 2nd Deck (21):
1

Ortolani for DDH?

Reduce manuever - Flex, abd, post pressure lift greater trochanter

2

TXT SCFE?

NWB + Surg (dcompress - reduce intra-articular pressure)

3

What is the most sensitive test for SCFE?

Loss of interanl hip rotation

4

What complications come w/ SCFE?

Chondrylosos
ON

5

Pavlik fails to TXT DDH?

Closed reduction w/ spica cast

6

DDH ass/w

Swaddling - and female
Metatrasus adductus
Breech presentation
Congenital torticollis

7

Drehamann sign

Obligatory ext rotation during P-ROM of Hip = SCFE

8

WHen should XR for DDH be taken?

4-6m (Ossification nucleues center medial and inferior to H/P lines

9

WHat line is used to tell if ice cream cone is off?

Kleins line

10

Pain occurs where w/ SCFE?

Groin, Hip, THigh. KNee

11

WHat dx test is used for the 1st year of life for DDH?

US - not before 6w (F+)

12

How does a SCFE pt walk?

Antalgic gaite w/ ext foot rotation

13

DDH TXT?

Pavlik harness - 6mo - Full time 6-12w - then just nights

14

What age group can use barlows, and ortolani?

<3mo

15

Where does a SCFE slip occur?

Physis

16

What pop does SCFE occur w/

Males, Overweight, pear shaped 13yo

17

Barlows for DDH?

Provactive - clunk - flex, add, w/ post pressure to joint

18

DDH Galeazzi test

Limb length - supine knees flexed - knee lower=dislocated

19

What would sugest unilateral DDH by looking at baby?

Asymmetric skin folds

20

DDH is a

Shallow, underdeveloped acetabulum that sublux or dislocates

21

Key to DX DDH is?

ID limited hip abduction