Paediatric orthopaedics Flashcards Preview

MSK > Paediatric orthopaedics > Flashcards

Flashcards in Paediatric orthopaedics Deck (22):
1

MSK problems related to cerebral palsy?

joint contractures
scoliosis
hip dislocation

2

What is the commonest skeletal dysplasia?
Features?

Achondroplasia
Features: prominent nose, large forehead, short limbs, joints lax
NORMAL mental development

3

what type of collagen is defective in osteogenesis imperfecta? is it usually aut dom or rec?

type 1
usually aut dom but worse if aut rec

4

signs of osteogenesis imperfecta

fragility fractures in kids
blue sclerae
hearing loss
short

5

DDH - more common in M or F?

F - 80%

6

DDH - tests
treatment?

Barlow and Ortolani manœuvres
Xray if over 6 months
US if under 6 months
treatment - Pavlik harness

7

Perthes
Who gets it?
What does it present with?
Is it usually unilateral or bilateral?
1st clinical sign?

boys 4-9 yrs, short, active
presents with pain and a limp
usually unilateral
1st clinical sign is loss of internal rotation

8

SUFE
Who gets it?
What happens?
What does it present with?
What imaging is necessary?
Treatment?

Overweight prepubertal boys
femoral head epiphysis slips down
loss of internal rotation but can present purely with knee pain!
lateral X-ray view necessary - Trethowans sign
Urgent surgery because risk of AVN

9

Most common cause of childhood hip pain?
who usually gets it?
What is it usually following?
treatment?

Transient synovitis
usually boys 2-10 yrs
commonly after URTI
tx - short course of NSAIDs and rest

10

What is a monteggia fracture?

fracture of proximal ulna with dislocation of head of the radius

11

What is a Galeazzi fracture?

fracture of the radius with dislocation of the distal radio ulnar joint

12

Name the mild and severe forms of spina bifida?

Mild form - spina bifida oculta
Severe form - spina bifida cystica

13

Talipes equinovarus (clubfoot)
risk factors?
features?
technique used?
what do most require?

RFs: breech position, oligohydramnios
features: plantar flexion, supination of forefoot, varus alignment of forefoot
Posenti technique
80% require achilles tenotomy then need to wear a brace until age 3/4

14

Duchenne muscular dystrophy
X linked dom or rec?
defect in what gene?
CK increased or decreased?
What is the sign seen?

X linked recessive
defect in dystrophin gene
CK increased
Gowers sign - weakness of proximal muscles

15

which salter harris #s are intra articular

III and IV

16

can shortening/malrotation of tibial spiral #s in toddlers be accepted?

NO

17

above what age can adult type IM nails be used

12

18

unable to make "ok" sign

supracondylar elbow #

19

jones fracture
why problematic?

fracture in region of proximal diaphysis of 5th mtrsl
this area has poor blood supply

20

are buckle distal radius fractures stable?

yes

21

what is spondyloisthesis

slippage of one vertebra over another

22

percentage of talipes equinovarus that are bilateral

50%