Boney Disorders (3) Flashcards
(29 cards)
What is osteogenesis imperfecta?
Disorder of the connective tissue
How many different types of osteogenesis imperfecta are there?
11
What are type 1-5 of osteogenesis imperfecta?
Autosomal dominant, type 1 collagen defect (mild to severe bone fragility)
What are types 6-11 of osteogenesis imperfecta?
Autosomal recessive, inability to translate collagen to bone (moderate to severe bone fragility)
What are common characteristics of osteogenesis imperfecta?
Weak muscles
Joint laxity
Blue sclerae
Dentinogenesis imperfecta (teeth)
Hearing loss
Excessive sweating
What should children with osteogenesis imperfecta avoid?
Traction at joints
What is arthrogryposis multiplex congenita?
Non-progressive neuromuscular disorder
What are joint contracture manifestations in order from most to least?
Foot
Hip
Wrist
Knee
Elbow
Shoulder
What is the presentation of arthrogryposis multiplex congenita?
Hip flexion and abduction with ER
Knee flexion
Club feet
Shoulder IR
Elbow extension and pronation
Wrist flexion
What is the clinical presentation of juvenile idiopathic arthritis?
Joint swelling and pain
Morning stiffness
Muscle atrophy and weakness
Inflammation of the eye
Systemic manifestations
What are the different types of juvenile idiopathic arthritis?
Oligoarticular
Poly articular
Systemic
What happens with oligoarticular JIA?
Inflammation of 4 or fewer joints (knee, ankle, elbow)
Most common type
What happens in poly articular JIA?
Greater than 5 joints often symmetrical (can have rheumatoid factor + or -)
What happens in systemic JIA?
Fever, rash, and delayed arthritis onset
What are the clinical findings of JIA?
Leg length discrepancy
Misalignment of joints
Muscle atrophy
Low peak O2 uptake
What are the pediatric conditions that affect the hip?
Developmental hip dysplasia
Legg calve Perthes
SCFE
Transient synovitis
What are the pediatric conditions that affect the knee?
Osgood schlatters
Patellofemoral pain syndrome
What are the pediatric conditions that affect the spine?
Scoliosis
What are the pediatric conditions that affect the foot/ankle?
Club foot
Pes planus/cavus
In toe/out toe
Metatarsus adductus
Severs disease
What are the pediatric conditions that affect the elbow?
Radial head subluxation
Little league elbow
What are the most common pediatric sports injuries?
ACL, physeal, and concussions
What defines scoliosis?
Curvature greater than 10 degrees (named by the way the spine curves)
What are the tests used to indicate developmental dysplasia of the hip?
Barlow, ortolani, and galeazzi
What is the barlows and ortolanis test?
Barlows - dislocation of hip
Ortolanis- putting hip back in acetabulum
