Ortho Paeds

Question 1

3 causes of In-toe gait (pigeon toeing)

Answer 1

Inset hips (femoral ante version) (girls>boys)
internal torsion of Tibia
Metatarsus adductus

Question 2

W sitting position, who does it?

Answer 2

Kids with femoral anteversion (inset hips)

Question 3

Risk factors of DDH? (Dev dys. Hip)

Answer 3

Breech
Female
Oligohydramnios
Big baby
First born
FHx

Question 4

How to treat DDH?

Answer 4

Abduction splint early early early

Question 5

DDH harness is called?

Answer 5

Pavlik or Denis Browne

Dont’ use double nappies

Question 6

Physical signs of late presenting dislocation?

Answer 6

Higher greater trochanter
Wide perineum
Asymmetrical gluteal buttock crease
Short leg
Abnormal gait

Question 7

How is head of femur supplied in children? 3 things

Answer 7

Medial circumflex
Lateral circumflex
Ligamentum Teres

Question 8

What is green stick fracture?

Answer 8

Bone break, periosteum intact

Question 9

What is a torus #?

Answer 9

Buckling of bone caused by impaction

Question 10

Blue sclera is a sign of?

Answer 10

Osteogenesis imperfectica

Question 11

Dead bone on X-ray looks?

Answer 11

Radio-opaque

Question 12

2 kinds of scoliosis

Answer 12

Postural (disappears when bent over)

Structural

Question 13

When do you treat scoliosis? Degrees?

Answer 13

50: surgery

Question 14

What is sever’s condition?

Answer 14

Calcaneus apophysitis
Self resolves in 12 months, seen in 10-12 yr olds
Heel life

Question 15

Chondromalacia patellae is? Who? Rx?

Answer 15

Age

Question 16

3 types of slipped capital femoral epiphysis? Usual feature?

Answer 16

Acute - uncommon
Acute on chronic
Chronic
Acute Limp

Question 17

What is scheuermann’s condition?

Answer 17

Adolescent with increased kyphosis in thoracic

Physio