Peadiatric Orthopaedics Flashcards Preview

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Flashcards in Peadiatric Orthopaedics Deck (51)
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1

When is a deformity significant?

if it is likely to persist and cause physical or mental health problems later in life

2

by what process do bones grow?

enchondral ossification 

3

what is another name for the growth plate of a bone?

physis

4

bones grow in a _______ direction from teh growth plate

longitudinal 

5

name some factors affecting the growth plate

diet/nutrition

Vitamins (D & A)

injury

illness

hormones (GH)

6

desrcibe varum knee alignment

'bow legged' the knees face out the way   

7

describe valgum knee alignment 

'knock kneed' knees facing in the way 

8

genu varum is normal up until what age?

<2yrs old 

9

give examples of pathological genu varum 

skeletal dysplasia

rickets

tumour

blounts disease

trauma

10

what is blounts disease?

growth arrest of the medial tibial physis 

11

what casues blounts disease?

unkown aetilogy (possibly due to weight overload)

12

give some examples of pathological genu valgum 

tumours

rickets

neurofibromatosis

idiopathic

13

when does genu valgum peak?

age 31/2

14

what is the management of genu valgum?

chart and monitor

If asymmetric or painful then refer

15

under what circumstance would surgery be considered for gune valgum?

if at age 11 the intermalleolar distance was >8cm

16

describe intoeing

child walks with toes ponting inwards (pigeon toed)

17

what could intoeing be related to?

femoral neck anteversion 

internal tibial torsion 

metatarsus adductus

 

 

18

what is the mean degree of rotation of the femoral neck at birth?

30-40o

19

what should the mean degree of rotaion of the feumr be at maturity?

10-15o

20

femroal anteversion can predispose what problem?

patellofemroal problems

21

internal tibial torsion is mostly seen in what age group? the vast majority resolve by what age?

usually seen in toddlers (1-3yrs) and resolves by 6 yrs 

22

is bracing and orthotics necessary for internal tibial torsion?

no- they are ineffectieve andnot required

23

what can be used to correct metatarsal adductus if it does resolve?

casting may help between 6 and 12 months old

24

how is intoeing managed?

define the cause

chart/photograph 

review and discharge 

25

how common is flat feet in adults?

1 in 5

26

everyone is born wth flat feet but what develops to correct this?

medial arch- this develops as tibialis posterior strengthens 

27

in flat feet what can be used to determine if it is fixed or flexible?

gastocsoleoeus complex 

28

in rigid flat foot there may be an underlying bony connection, what is this called?

tarsal coalition 

29

curly toes affects who and which toes?

common in younger children and mostly 3rd or 4th toes

30

splinting and tapign are effective in curly toes true/false?

false- they are ineffective