Musculoskeletal Flashcards

(29 cards)

1
Q

which disorder is associated with adduction of the forefoot

A

club foot- Talipes equinovarus congenita

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

talipes equinovarus

A

club foot

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

Develops from an infarction of bony epiphysis of the femoral head.

A

Legg-Calve Perthes

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

Which most affects outcome for LCP

1) age, bilateral involvement,

A

age

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

Inflammatory process that affects larger joints spaces (hip), ages 3-8 y/o, acute onset, occurs after an illness often URI

A

toxic synovitis

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

what is Galeazzi sign

A

unequal knee height

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

Ortolani is good until what age?

what is the motion?

A

good test until 6mo of age

hips out

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

Hip dysplasia tx

A

treat with pavlik harness

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

Hip dysplasia risks

A

breech presentation, oligohydramnios, female gender, and a family history of the condition

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

what do you do for a child who has torticollis at 14 mo of age

A

refer to surgery

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

what is Alis sign?

A

unequal LEG length

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

peak ages for Osgood- schlatter? Why does it happen in this age range?

A

11-14

growth spurt, athlete

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what is the treatment for Osgood- schlatter?

A

limit activit, knee immobilizer (limit the vibrations)

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

What is the age range for toxic synovitis?

A

Preschoolers, range is 2-6 most often but can occur from ages 1-15

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

painful limp, unilateral involvment, spasm of the hip with internal rotation, normal x ray

what is your diagnosis?

A

toxic synovitis

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

what is the treatment for toxic synovitis?

A

analgesics, bed rest as needed, typically benign

17
Q

insidious onset of limp with knee pain, afebrile, limited passive internal rotation and abduction of hip. what am I?

A

leggs calve perthes

18
Q

treatment for LCP?

A

obs IF: under 6 with full rom, and less than half of femoral head is involved

refer: more than one half of femoral head is involved, children older than 6

19
Q

avascular necrosis of the femoral head is related to what disorder?

20
Q

spontaneous dislocation of the femoral head is r/t what disorder?

21
Q

may observe significant limb shortening with what condition?

22
Q

SCFE risk factors/causes?

A

overweight, african americans

causes: sudden force or trauma, pubertal hormonal changes,

23
Q

most children with Duchenne’s muscular dystrophy are wheelchair-bound by what age?

24
Q

genu varum is a normal variant until what age?

A

age 2 (unles its prominant on one leg or is worsening)

25
genu valgum is a normal variant until what age?
age of 7
26
what is gowers sign?
walking hands up leg
27
what is a good way to differentiate LCP from SCFE?
aside from age, wt, incident of trauma LCP pain starts at KNEE and goes UP SCFE starts at HIP and goes DOWN
28
SCFE treatment? what is a big risk after SCFE?
surgery with a PIN ** watch for second hip likely to happen to other side**
29
if a child has a + gowers sign, what lab would you draw to aid to your differential?
CK is makedly elevated