Diseases Of Bones And Joints Of LE

Question 1

Position of toes in claw toes

Answer 1

Hyperextended MTP and flexed IP

Question 2

Treatment of osgood-schlatter’s disease

Answer 2

Rest from activity for 4-8 weeks

Question 3

3 deformities that make up a club foot (equinovarus foot)

Answer 3

1. Plantarflexion
2. Varus forefoot
3. Varus heel

Question 4

What disease is characterized by bowing of the proximal tibia

Answer 4

Blount’s disease

Question 5

3 clinical exams used to assess hip dysplasia in children

Answer 5

1. Galeazzi test
2. Ortolani test
3. Barlow test

Question 6

Adduction of the forefoot with heel in normal position

Answer 6

Metatarsus varus

Question 7

Treatment of equinovarus foot

Answer 7

PT, bracing, serial casting, surgery

Question 8

How long do you keep a hip spica cast or pavlik harness on for?

Answer 8

3-4 months

Question 9

How do you treat acute transient/toxic synovitis of hip

Answer 9

NSAIDs and rest until pain free

Question 10

Children with metatarsus adductus and torticollis have increased incidence of…..

Answer 10

Developmental dysplasia of hip

Question 11

How do you perform ortolani test

Answer 11

Abduct hips and push greater trochanter anteriorly to reduce the hip

Question 12

Which of the 3 causes of nontraumatic hip pain or limp has a normal X-ray

Answer 12

Acute transient/toxic synovitis

Question 13

Most common cause of limping and pain in hip of children

Answer 13

Transient/toxic synovitis of hip

Question 14

If DDH is diagnosed, at which do you decide to do surgery instead of bracing?

Answer 14

If it is diagnosed at walking age (14 months), then do surgery

Question 15

First line treatment for DDH

Answer 15

Pavlik harness

Question 16

Treatment of tibia vara

Answer 16

Osteotomy of the proximal tibia and fibula

Question 17

How do you perform geleazzi test

Answer 17

Flex hips and knees and look at level of knees. One knee shorter than the other = hip dysplasia in the shorter one

Question 18

What complication of DDH result if forced hip abduction in brace or splint occurs?

Answer 18

AVN of hip

Question 19

Most common hip disorder of children

Answer 19

Slipped capital femoral epiphysis

Question 20

How do you treat legg-calve-perthes disease

Answer 20

Abduction brace

Question 21

What is osgood-schlatter’s disease?

Answer 21

Traction apophysitis of the tibial tubercle

Question 22

Pathophysiology of osgood-schlatter’s disease

Answer 22

Repeated microfractures of the apophyseal cartilage between tibial turbercle and tibial tuberosity

Question 23

What kind of activities aggravate osgood-schlatter’s disease?

Answer 23

knee bending

Question 24

How do you perform Barlow test?

Answer 24

Flex and adduct and push femur posteriorly with thumb to see if hip can be dislocated

Question 25

Congenital anomaly that leads to fusion of tarsal bones

Answer 25

Tarsal coalition

Question 26

Excessive dorsiflexion and eversion of the foot

Answer 26

Talipes calcaneovalgus

Question 27

What kind of position does a pavlik harness or hip spica cast keep the hip in?

Answer 27

90-120 degrees of hip flexion and limits hip adduction

Question 28

How do you treat SCFE?

Answer 28

Surgical pinning

Question 29

Physical exam findings of tarsal coalition

Answer 29

Hindfoot valgus, forefoot abduction, heel cord contraction