Ortho

Question 1

What are the risk factors of developmental dysplasia of the hip

Answer 1

Family history 
first born
female
frank breech
fair complexion
facial twist

Question 2

What PE test will dislocate the hips with DDH

Answer 2

Barlows test

Question 3

what test will bring the hips back into place with DDH

Answer 3

Ortolani test

Question 4

In DDH what makes ortolani test postitive

Answer 4

palpale clunk

Question 5

How can you dx DDH

Answer 5

Ultrasound, Golf ball will be centered on the tee in a normal US

Question 6

what is the treatment of DDH

Answer 6

pavlik bracing

Question 7

what is talipes equinovarus

Answer 7

clubfoot

Question 8

what is found on PE of a pt with talipes equinovarus

Answer 8

cavus midfoot, adduction forefoot, varus hindfoot, equinus hindfoot

Question 9

what is the treatment of talipes equinovarus

Answer 9

casting then to stright or reverse shoes

surgery if casting does not work

Question 10

what is the casting called for the treatment of talipes equinovarus

Answer 10

Ponseit technique

Question 11

What does one with a calcaneovalgus foot look like

Answer 11

forefoot is dorsiflexed to the antero-lateral tibia

Question 12

what is the treatment of calcaneovalgus foot

Answer 12

stretching excercises

most resolve over 4-6 weeks

Question 13

what are the two types of flat feet

Answer 13

flexible and rigid

Question 14

How can you tell the difference between flexible and rigid flat feet

Answer 14

extend the toes if an arch appears its flexible

Question 15

what is the treatment of flexible flat feet

Answer 15

No treatment

Question 16

what is the treatment of rigid flat feet

Answer 16

shoe inserts; surgical repair

Question 17

what type of flat feet is familial

Answer 17

flexible flat feet

Question 18

what are the 3 types of intoeing

Answer 18

metatarsus adductus
tibial torsion
femoral anteversion

Question 19

who is metatarsus adductus found in

Answer 19

newborns

Question 20

who is tibial torsion found in

Answer 20

early walkers

Question 21

when should metatarsus adductus be corrected by

Answer 21

3 years

Question 22

what is the treatment of metatarsus adductus

Answer 22

stretching, switching shoes

Question 23

what is the treatment of tibial torsion

Answer 23

most resolve by 4-7 years old

Question 24

who is femoral anteversion found in

Answer 24

older children

Question 25

when does femoral anteversion usually correct itself by

Answer 25

10-12 years

Question 26

At what age is a pt often bow legged

Answer 26

1 and a 1/2- 3 years

Question 27

At what age is a pt often knock kneed

Answer 27

2 and a 1/2 - 5 years

Question 28

At what age is a pt often straight legged

Answer 28

5-6 years

Question 29

who is bow legged worse in

Answer 29

early walkers

Question 30

what is a progressive deformity of the legs chronic varus

Answer 30

blounts disease

Question 31

what is the treatment of blounts disease

Answer 31

bracing, casting

Question 32

what is legg-calve perthes disease

Answer 32

idiopathic juvenile acascular nercrosis of the femoral head

Question 33

who is legg-calve perthes disease common in

Answer 33

short, skinny, white boys (age 3-8)

Question 34

How does legg-calve perthes disease often present

Answer 34

vague onset knee and hip pain

Question 35

What PE findings will you have with legg-calve perthes disease

Answer 35

decreased ROM of hip with abduction and internal rotation

Question 36

what is the treatment of legg-calve perthes disease

Answer 36

casting-the disorder is self-healing

Question 37

How does one present with slipped capital femoral epiphysis

Answer 37

knee pain with limited internal and external rotation

Question 38

what will you see on XR of slipped capital femoral epiphysis

Answer 38

ice cream falling off its cone

Question 39

what are the 3 types of slipped capital femoral epiphysis

Answer 39

acute, acute on chronic chronic

Question 40

what is a complication of an acute slipped capital femoral epiphysis

Answer 40

AVN

Question 41

what is the most common type of slipped capital femoral epiphysis

Answer 41

chronic

Question 42

what is the treatment of slipped capital femoral epiphysis

Answer 42

pin placement across epiphysis

Question 43

what type of pattern is most common with scoliosis

Answer 43

right thoracic curve pattern

Question 44

how can you diagnose scoliosis without XR

Answer 44

Adams forward bend test

Question 45

what is the treatment of scoliosis

Answer 45

mild: observation Moderate: Brace Severe: operation

Question 46

How does one develop osgood-schlatter disease

Answer 46

traction apophysitis of the tibial tubercle due to repetitive microtrauma

Question 47

What will you find on PE of a pt with osgood-schlatter disease

Answer 47

swelling and localized tenderness over the tibial tubercle

Question 48

what is the treatment of osgood-schlatter disease

Answer 48

symptomatic treatment

Question 49

What is nursemaids elbow

Answer 49

annular ligament getting trapped in the radial/capitellar joint

Question 50

What is the treatment of nursemaids elbow

Answer 50

extension, full supination and flexion of the arm

Question 51

what is the most common type of salter harris

Answer 51

type 2

Question 52

what is it called if the bony cortex does not truly break

Answer 52

buckle or torus fracture

Question 53

How long does it take for a buckle fracture to heal

Answer 53

about 4 weeks

Question 54

what is it called if there is an oblique fracture of the distal tibia without fibular fracture

Answer 54

toddlers fracture

Question 55

how does a patient present with a toddlers fracture

Answer 55

limping, pain with weight bearing