Orthopedics-surgery

Question 1

Runs in family, diagnosed right after birth, uneven gluteal folds, dislocated posteriorly with click

Answer 1

Developmental dysplasia of the hip

Question 2

the only two areas special problems that children with fractures are

Answer 2

• supracondylar fractures of the humerus
  -fractures of any bone involving growth plate
  other fractures remodeling occurs with no permanent deformity

Question 3

13yo boy with groin or knee pain. when sit with the legs dangling, sole of the foot points toward the other. Dx? NSIM?

Answer 3

Slipped capital femoral epiphysis
-Surgery afte x-ray
to pin the femoral head back in place

Question 4

6Yo insidious development of l limping, decreased hip movement, walk with an antalgic gait. Dx?NSIM?

Answer 4

• Legg-Calve-perthes disease

- Hip x-ray- femoral head within the accetabulum by casting and crutches

Question 5

clavicular fractures

Answer 5

place arm in a sling

Question 6

Hip fracture on intertrochanteric, NSIM

Answer 6

open reduction and internal fixation

Question 7

Hip fracture on femoral neck, NSIM

Answer 7

replace the femoral head with a prosthesis

Question 8

Hip fracture on femoral shaft, NSIM

Answer 8

intramedullary rod fixation