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Pediatrics > Orthopedic Diagnosis Classifications > Flashcards

Orthopedic Diagnosis Classifications Flashcards

(50 cards)

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1
Q

DDH

Profile

A

-birth

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2
Q

Legg-Calve Perthes

Profile

A

2-13 years

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3
Q

Slipped Capital Femoral Epiphysis

Profile

A

Boys: 10-17 years
Girls: 8-15 years

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4
Q

Osgood-Schlatter

Profile

A

Boys: 10-15 years
Girls: 8-13 years

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5
Q

DDH

Incidence

A
  • male>female
  • left>right
  • black>white
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6
Q

DDH

Observation

A
  • short limb

- asymmetrical thigh folds

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7
Q

DDH

Position

A

-hips flexed and abducted

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8
Q

DDH

History

A
  • may be breech birth

- often associated with torticollis

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9
Q

DDH

ROM

A

Limited hip abduction

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10
Q

DDH

Special Tests

A
  • Galeazzi
  • Barlow
  • Ortalani
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11
Q

DDH

Radiologic findings

A
  • upward and lateral hip displacement

- delayed development of acetabulum

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12
Q

DDH

Intervention

A
  • Birth-9 months: hip flexion/abduction–Pavlik harnes
  • 9 Months+: abduction orthosis (allow walking)
  • > 6 months with dislocated/dislocatable hips: surgery (open or closed reduction)
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13
Q

Legg-Calve-Perthes

Incidence

A
  • male>female
  • rare in blacks
  • 15% bilateral
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14
Q

Legg-Calve-Perthes

Observation

A
  • short limb
  • high gr trochanter
  • quad atrophy
  • adductor spasm
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15
Q

Legg-Calve-Perthes

Pain

A
  • gradual onset

- ache hip/thigh/knee

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16
Q

Legg-Calve-Perthes

History

A
  • 20-25% familial
  • LBW
  • growth delay
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17
Q

Legg-Calve-Perthes

ROM

A

-limited hip abd/extension

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18
Q

Legg-Calve-Perthes

Gait

A

-antalgic after activity

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19
Q

Legg-Calve-Perthes

Radiologic findings

A

-in stages: increased density, fragmentation, flattening of epiphysis

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20
Q

Legg-Calve-Perthes

Intervention

A
  • may not be necessary
  • bracing/casts: preserve contour of fem head and keep in acetabulum
  • obtain/maintain hip ROM
  • surgery
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21
Q

Slipped Capital Femoral Epiphysis

Incidence

Study These Flashcards
A
  • male>female

- black>white

22
Q

Slipped Capital Femoral Epiphysis

Observation

Study These Flashcards
A
  • Short limb
  • obese
  • quad atrophy
  • adductor spasm
23
Q

Slipped Capital Femoral Epiphysis

Pain

Study These Flashcards
A
  • vague in knee/thigh/hip

- pain in extreme motion

24
Q

Slipped Capital Femoral Epiphysis

History

25
Slipped Capital Femoral Epiphysis | ROM
- limited hip IR/ABD/Flex | - increased hip ER
26
Slipped Capital Femoral Epiphysis | Gait
- Acute: antalgic | - Chronic: trendelenberg, hip ER
27
Slipped Capital Femoral Epiphysis | Radiologic Findings
-displacement of upper femoral epiphysis
28
Slipped Capital Femoral Epiphysis | Intervention
- surgical fixation to keep displacement to minimum - maintain ROM - delay/prevent premature degen arthritis
29
Osgood-Schlatter | Incidence
- male>female | - 25-33% bilateral
30
Osgood-Schlatter | Observation
-swelling at insertion of patellar tendon
31
Osgood-Schlatter | Pain
- activity-related - at insertion of patellar tendon - acute or gradual
32
Osgood-Schlatter | History
-brought on by running or sports
33
Osgood-Schlatter | Gait
-antalgic
34
Osgood-Schlatter | Intervention
- rest, ice, compression - decrease activity - avoid squat/jump - severe may require cast immobilization
35
Metatarsus Adductus | DF ROM
-full
36
Metatarsus Adductus | Foot Shape
- kidney shaped | - forefoot medially deviated
37
Metatarsus Adductus | Heel Position
-hindfoot valgus
38
Metatarsus Adductus | Intervention: Grade I
- no treatment | - resolves by 4-6 months
39
Metatarsus Adductus | Intervention: Grade II
-stretching and corrective shoes
40
Metatarsus Adductus | Intervention: Grade III
- Manipulation - serial casting - corrective shoes
41
Talipes Equinovarus | DF ROM
No
42
Talipes Equinovarus | Foot Shape
- kidney shaped | - forefoot medially deviated
43
Talipes Equinovarus | Heel Position
- small calcaneus | - hindfoot varus with equinus of ankle
44
Talipes Equinovarus | Intervention
- manipulation | - serial casting
45
Positional Calcaneovalgus | DF ROM
-full/excessive
46
Positional Calcaneovalgus | Foot Shape
- banana shaped | - deviated laterally
47
Positional Calcaneovalgus | Heel Position
-hindfoot valgus
48
Positional Calcaneovalgus | Intervention
- no treatment necessary | - resolves spontaneously
49
Flexible Flat Foot | Foot Shape
-longitudinal arch decreases/disappears in standing
50
Flexible Flat Foot | Intervention
- natural history of improvement - little evidence to support the use of special shoes/arch supports - use of lightweight running shoe with arch support/strong counter may decrease wear on medial border of shoes

Pediatrics (13 decks)

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