Paediatric and Adolescent Knee Problems Flashcards Preview

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Flashcards in Paediatric and Adolescent Knee Problems Deck (14)
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1
Q

Knee Extensor Mechanism Pain Epidemiology

A

Common in adolescence

  • due to increased body weight
  • due to increased sporting activity
2
Q

Apophysitis

A

Inflammation of growing tubercle where a tendon attaches

3
Q

Apophysitis Common Sites

A

Tibial Tubercle
- Osgood-Schlatter’s Disease
Inferior pole of patella
- Sinding- Larsen-Johanssen Disease

4
Q

Apophysitis Treatment

A

Self-limiting
Rest
Potential for physio

5
Q

Patella-femoral dysfunction

A

Pain in the patella-femoral joint region

6
Q

Patella-femoral dysfunction risk factors (4)

A
Female gender.
Muscle imbalance
Ligamentous Laxity
Subtle skeletal predisposition 
- Genu varum
-Wide hips
-Femoral neck anteversion
7
Q

patello-femoral dysfunction treatment

A

Mostly self-limiting
Physio can help

Surgery may be required in resistance causes to shift the forces on the patella
-tibial tubercle transfer

8
Q

Patellar Instability

A

Dislocation and subluxation of the patella

9
Q

Patellar Instability epidemiology

A

Adolescents

10
Q

Patellar Instability Predisposing factors

A
Trauma
Ligamentous Laxity
Shallow femoral trochlea
Genu Valgum
Hip Anteversion
11
Q

Patellar Instability Consequences

A

Osteochondral fracture

  • fracture of hyaline cartilage with or without subchondral bone that may break off
  • Large segments are fixed with pins
  • Small segments are removed arthroscopically
12
Q

Patellar Instability Treatment

A

Physiotherapy
Surgery to correct bony predispositions
Surgery to reconstruct the medial patellofemoral ligament

13
Q

meniscal Tears (type common in children)

A

Peripheral

Bucket Handle

14
Q

Medical Tear Deformities

A

Lateral meniscus can be circular instead of C-shaped.

Can be a source of pain and popping sensation

Treatment
-Arthroscopic partial meniscectomy