Flashcards in MSK Synap Deck (19)
how does spondilolithesis present?
lower back pain (as it usually occurs at L4/L5 or L5/S1)
radiculopathy (if severe)
flat back (due to muscle spasm)
how is spondilolithesis managed?
stabilisation and reduction in severe cases
what is spondilolithesis associated with?
usually in adolescents
associated with increased body weight and physical activity
back pain in children is a red flag, what 3 things can it signify?
what is perthes disease and who does it usually occur in?
idiopathic osteochondritis of the femoral head leading to avascular necrosis. This affects bone growth and development
usually occurs in boys aged 4-9
how does perthes disease characteristically present?
unilateral groin and knee pain with a limp in young active boys
how is perthes disease managed?
what are the 4 stages in perthes?
any painful scoliosis requires what urgent investigation?
urgent MRI to rule out tumour or infection
what is the most common cause of painful fixed flat foot deformity and how is this managed?
splintage, orthotics or surgery
what are the 3 main features of ehlers danlos syndrome?
ligamentous laxity, hypermobile joints
vascular instability and bruising
Osgood schlatters vs sinding Larsen johanssen disease?
Osgood schlatters = tibial tubercle
sinding = inferior pole of patella
both managed with rest and physio
how is DDH managed?
pavlik harness in children up to 4-6 months old
- constantly for first 6 weeks
- only at night for following 6 weeks
if older than 4-6 months
- reduction with dye or open reduction
3 features of talipes equinovarus?
ankle equinus (plantarflexion)
supination of the forefoot
varus alignment of the forefoot
talipes equinovarus is due to a deformity between what 3 bones?
what causes waiters tip posture?
how is talipes equinovarus managed?
serial casts with 5-6 weekly changes
once correction is achieved, brace must be worn 23 hrs a day for 3 months, then only at night until age 3-4
what can cause pes cavus and claw toes?
spina bifida occulta