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Clin Med II MSK > Lower Extremity > Flashcards

Flashcards in Lower Extremity Deck (64)
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1

What is avascular necrosis of hip called in kids?

Legg-Calve Perthes Dz

2

Tx of avascular necrosis

Conservative, may eventually need hip replacement

3

Labral tear of hip, occurs in what pop?

Men 30-40 due to wear and tear

4

Sx of labral tear of hip

Groin pain
"Locks", limits exercise

5

Femoroacetabular Impingement

Early osteoarthritis w/ labral tear

6

Types of Femoroacetabular Impingement (3)

CAM--young active males, flattening/widening of femoral neck
Pincer--females, osteophyte formation on superior acetabulum
Blended--some flattening w/ osteophytes

7

Hip dislocation--what does leg look like? (position)

Shortened, adducted, internally rotated

8

Is posterior or anterior hip dislocation more common?

Posterior

9

Femoral neck fx--what does leg look like? (position)

Shortened, abducted, externally rotated

10

Femoral neck fx has high risk of what?

AVN

11

Triad of RF for femoral neck fx

Amenorrhea, eating disorder, osteoporosis (teen female runner)

12

Types of femoral neck fx (2) and tx

Tension: fx along superior lateral neck
- Surg
Compression: fx along inferior medial neck
- Non-op, NWB

13

Intertrochanteric and subtrochanteric fx--what does leg look like? (position)

Shortened, externally rotated

14

Intertrochanteric and subtrochanteric tx

100% are surgical (ORIF)

15

All subtrochanteric fx are considered ______ until proven otherwise

Pathologic

16

Greater trochanteric bursitis is inflam bt _____ and _____

Inflam bt gluteus medius and IT band

17

What type of gait do kids w/ Legg-Calve Perthes have?

Trendelenburg gait, painless limp

18

#1 RF of slipped capital femoral epiphysis

Obese

19

Sx of slipped capital femoral epiphysis

Painful limp, knee/thigh pain

20

What pop typically gets slipped capital femoral epiphysis?

10-14 y/o during growth spurts or jumping activities

21

Tx for slipped capital femoral epiphysis

ORIF, NWB (wheelchair)

22

#1 complication of slipped capital femoral epiphysis

Osteonecrosis

23

Most common orthopedic disorder of newborns

Developmental dysplasia of hip

24

Developmental dysplasia of hip: Barlows vs. Ortolani

- Barlows: hip flexion and adduction
- Ortolani: hip elevation and abduction

25

Diagnosing developmental dysplasia of hip

Initially: US
At 4-6 months: xray

26

Developmental dysplasia can lead to...

Premature osteoarthritis

27

Xray views of knee to order

Standing AP
Standing lateral
Sunrise view

28

Is knee dislocation an emergency?

YES--early reduction is essential

29

What must you check on pt w/ knee dislocation?

Distal pulses and peroneal nerve fxn

30

Osgood-Schlatter Dz

Pronounced tibial tubercle