Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

In order Cuccurullo > Ch 10 - Peds: Bone and Joint Diseases > Flashcards

Ch 10 - Peds: Bone and Joint Diseases Flashcards

1
Q

What are treatments for club foot?

A

Physical therapy
Bracing
Serial casting
50% require surgical correction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is bowleg?

A

Genu varum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is Blount’s disease?

A

Tibia Vara d/t ABN function of the medial portion of the proximal tibial growth plate and results in bowing in the proximal tibia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is the MCC of bowing in young children?

A

Blount’s disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Who is Blount’s disease MC seen in?

A

Obese children who walk at 9 to 10 months
African Americans
Suspected in children with bowing >2yo

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is the treatment of Blount’s disease?

A

Osteotomy of the proximal tibia and

fibula

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Describe the Galeazzi (Allis) Test.

A

Flex hip and knees bilaterally, looking at the level of the knees and low knee indicates that hip dysplasia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is the olive sign?

A

Soft, nontender enlargement of the SCM within the first 6 weeks and subsides within 4 to 6 months of age

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is seen on exam in Congenital Torticollis?

A

Flattening of the ipsilateral face
Contralateral occipital flattening
Orbital asymmetry (plagiocephaly)
Ipsilateral hip dysplasia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is the MCC of Congenital Torticollis?

A

Fibrosis of the SCM

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Describe right torticollis.

A

Head is tilted to the right shoulder with the chin rotated to the left.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What are treatments of congenital toricollis?

A
  1. Stretch SCM 15-29x/day
  2. Position head to encourage ipsilateral superior gaze to strengthen muscles
  3. Put mobile on right side of the crib in right torticolis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Describe Nursemaid’s elbow.

A

Radial head and neck are displaced distal to the annular ligament d/t longitudinal pull or sudden traction applied to the upper extremity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is the treatment for Nursemaid’s elbow?

A

Reduction usually is achieved by supination and extension of the forearm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is Little Leaguer’s elbow?

A

Repetitive traction stress on the apophysis of the medial epicondylar ossification center of the humerus from repetitive valgus stress

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is Osgood-Schlatter’s Disease (OSD)?

A

Traction apophysitis of the anterior tibial turbercle typically seen in active adolescent boys>girls

17
Q

What is the most common cause of limping and pain in the hip of children?

A

Transient (toxic) synovitis of the hip

18
Q

What is Legg-Calvé-Perthes disease?

A

AVN of the proximal femur d/t rapid growth in relation to blood supply

19
Q

When is onset of Legg-Calvé-Perthes disease?

A

4-10yo

Boys> girls (4:1)

20
Q

What is the clinical presentation of Legg-Calvé-Perthes disease?

A

Pain in groin and radiates anterior/medial thigh toward knee
Dec internal rotation, extension, and abduction

21
Q

What is the treatment of Legg-Calvé-Perthes disease?

A

Abduction brace
Retain spherical shape of the femoral head
Continue WB with the femur in abducted position so that the head is well contained by the acetabulum
Surgical: varus osteotomy

22
Q

What is Slipped capital femoral epiphysis (SCFE)?

A

Separation of proximal femoral epiphysis through the growth plate

23
Q

When is the onset of Slipped capital femoral epiphysis (SCFE)?

A

9 to 15 years
Boys > girls
Blacks > whites

24
Q

What is the clinical presentation of Slipped capital femoral epiphysis (SCFE)?

A

Dec internal rotation, abduction
Affected leg in external rotation
Endomorphic habitus

25
Q

What is the treatment of Slipped capital femoral epiphysis (SCFE)?

A

Surgical pinning

26
Q

What is the cause of 80% of scoliosis?

A

Idiopathic

27
Q

What is the curve pattern in infantile scoliosis?

A

Left thoracolumbar

28
Q

What is the curve pattern in juvenile scoliosis?

A

Right thoracic or double curve

29
Q

What is the curve pattern in adolescent scoliosis?

A

Right thoracic 1

Right thoracic/left lumbar 2

30
Q

What is the treatment of idiopathic scoliosis?

A

1–20°: Observation
20–40°: Brace
>40°: Surgery

31
Q

What is the treatment of neuromuscular scoliosis?

A

1–20°: Observation

20–40°: Surgery

32
Q

What is the treatment of scoliosis in CP?

A

1–20°: Observation

>40°: Surgery, may wait until 60° in some cases

33
Q

What is Scheuermann’s disease?

A

≥3 consecutive thoracic vertebrae are wedged >5°

34
Q

What is the MCC of Spondylolisthesis in children? What levels?

A

Dysplastic and isthmic types

Occur MC at L5–S1 and then at L4–L5

35
Q

What is isthmic spondylolisthesis?

A

Vertebral body slippage d/t spondylolysis from fx of the pars interarticularis

36
Q

What is dysplastic spondylolisthesis?

A

Congenital malformation of the facet joints at the lumbosacral junction with pars elongation or attenuation

In order Cuccurullo (91 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions