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PEDS 2- clinical disciplines > Ortho > Flashcards

Flashcards in Ortho Deck (95)
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1

Valgus abnormality?

knock knees

2

Varus abnormality?

bow legs

3

How are kids bones dif. from adults?

metabolically more active

thicker and more durable

4

What is an occult fx?

fracture not initially evident on plain xrays

5

Salter Harris I fx?

transverse physeal fx w/ widening

6

Salter Harris II fx?

fx through metaphysis and physis

7

Salter Harris III fx?

fx through physis and epiphysis

8

Salter harris IV fx?

fx through metaphysis, physis, and epiphysis

9

Salter harris V fx?

physeal compression or crush fx

10

What is the MC pediatric elbow fx?

supracondylar fx

11

Presentation of supracondylar fx?

FOOSH injury from height, typically w/ hyperextension

swelling, pain +/- deformity

12

What x-ray view will you best see a supracondylar fracture?

lateral

13

Tx of distal humerus supracondylar fx?

Type I/II: posterior splint w/ light overwrap, Ibuprofen, elevation, refer to ortho

Type III or NV concerns: emergent ortho consult

14

presentation of lateral condylar fx?

soft tissue swelling concentrated to lateral aspect of elbow

ttp over lateral condyle

15

Management of lateral condylar fx of distal humerus?

emergent referral if displacement >2mm

splint, sling, NSAIDs

ortho: casting v. surg

16

What are some complications of lateral condylar fx of distal humerus?

nonunion

fishtail deformity

cubitus valgus/varus deformities

17

Common causes of medial epicondylar fx

muscle attachement avulsion-throwing athletes

may be assoc. w/ elbow dislocation

18

Management of medial epicondylar fx?

emergenct if entrapped fragment

splint: wrist & sling

NSAIDs

ortho: short term immobilization v. open fixation

19

comps of medial epicondylar fx?

ulnar nerve palsy
nonunion
angular deformity
decreased ROM

20

Common causes of radial neck fx?

FOOSH w/ valgus stress

elbow dislocations: during dislocation or relocation

21

Presentation of radial neck fx?

TTP over radial head/neck

pain w/ supination/pronation > flexion/extension

young children may complain of wrist pain

22

Management of radial neck fx?

immobilize (including wrist)

sling, NSAIDs, ortho

23

comps of radial neck fx?

premature physeal closure

loss of ROM

nonunion

24

MC age range for nursemaid's elbow?

1-3y/o

common cause is sudden pull of pronated arm

25

Presentation of nursemaid's elbow?

arm either fully extended or slightly flexed and pronated

overall refusal to use arm (may still use fingers)

mild pain over radial head, pain increase w/ attempts to supinate

26

What are the 2 ways that you can reduce a nursemaid's elbow?

1. hyperpronation w/ pressure over the radial head

2. supination, flexion w/ pressure over radial head


then lollipop test

27

epidemiology of capitellar osteochondrosis "panner disease"

Males 5-10yos

dominant (throwing) arm

baseball, gymnastics, handball

28

Presentation of panner disease?

rapid onset of pain

deep, lateral pain

ROM: limited extension

no locking sensation

29

panner disease PE findings?

+/- swelling, TTP

pain/guarding w/ passive extension

lateral pain w/ valgus stress

30

Management of panner disease?

sxs care: ice, NSAIDs, rest

+/- immobilization, PT

avoidance of elbow stress for wks-mos