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Flashcards in Limb Deficiencies Deck (38)
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1
Q

Rate of phantom pain/sensation in congenital limb-deficient children

A

Zero

2
Q

What is the preferred classification system for pediatric limb deficiencies

A

ISPO (international Society for Prosthetics and Orthotics)

3
Q

Most common congenital lower limb deficiency

A

Fibular longitudinal deficiency

4
Q

What is Holt-Oram Syndrome

A

Limb deficiencies associated with CHD

5
Q

Most common complication seen after amputation in an immature child

A

Terminal overgrowth

6
Q

Absence of a limb

A

Amelia

7
Q

Partial absence of a limb

A

Meromelia

8
Q

procedure for PFFD that rotates foot by 180 degrees and attached to shortened femur, allowing ankle to control prosthesis

A

Van Ness Rotation

9
Q

Treatment of choice for a transtibial deficiency

A

Knee disarticulation

10
Q

When is a more sophisticated transradial prosthesis and terminal device fitted for a child after the initial prosthesis?

A

11-13 months when child can walk

11
Q

What kind of procedure is usually done for severe forms of PFFD

A

Fusing shortened femur to tibia and doing a Syme’s amputation

12
Q

When does first prosthetic fitting for a transradial deficiency occur for a child?

A

6-7 months, when they can first sit

13
Q

MC prosthetic foot used for a child amputee

A

SACH foot

14
Q

Procedure used to separate ulna and radius in forearm to create prehensile surface

A

Krukenberg procedure

15
Q

What is VACTERL syndrome

A
Vertebral defects
Anal atresia
Congenital defect
TracheoEsophageal fistula
Renal dysplasia 
Limb deficiency
16
Q

Missing hand or foot

A

Acheiria

17
Q

At what age can a child operate all types of prosthetic components for a transradial deficiency?

A

4-5 years

18
Q

Absence of half a limb

A

Hemimelia

19
Q

MCC of pediatric acquired amputation

A

Trauma

20
Q

What kind of amputation is preferred in pediatrics to preserve the epiphyseal growth place

A

Joint disarticulation

21
Q

What procedure is done if there is fibular deficiency and severe leg length discrepancy

A

Syme’s amputation

22
Q

How often should prosthesis be replaced in a growing child?

A
<5yo = q12 mths
5-12yo = q18 mths
12-21yo = q24 mths
23
Q

According to ISPO, what does transverse vs longitudinal mean?

A
Transverse = no distal remaining portions
Longitudinal = distal portions remain intact
24
Q

Absent finger or toe

A

Aphalangia

25
Q

Absent metacarpal or metatarsal

A

Adactyly

26
Q

Which trimester are congenital limb deficiencies formed?

A

First trimester

27
Q

Most common congenital limb deficiency

A

Left terminal transradial deficiency

28
Q

At what age can you use body-powered hooks for transhumeral deficiency

A

2-3 years

29
Q

What is Fanconi’s syndrome

A

Limb deficiencies associated with Anemia and leukopenia

30
Q

What is TAR syndrome?

A

Thrombocytopenia with
Absence of
Radius

31
Q

70-80% of patients with PFFD also present with deficiency of………

A

Fibula

32
Q

Treatment of choice for terminal overgrowth

A

Surgical revision

33
Q

What bones does terminal growth MC occur in, in descending order

A

Humerus, fibular, tibia, femur

34
Q

At what age can children use motorized wheelchairs

A

5-6 years

35
Q

Longitudinal deficiency of the femur

A

Partial proximal femoral focal deficiency (PFFD)

36
Q

Flipper-like appendage attached to trunk

A

Phocomelia

37
Q

At what age is prosthetic fitting done for a LE amputee

A

9-10 months, when child can pull to stand

38
Q

Most frequent tumors that causes pediatric acquired amputation

A

Osteosarcoma and Ewing’s sarcoma