Flashcards in Pediatric Conditions Deck (12):
In prone with knee to 90°
Describes the degree of tibial torsion
3 causes of toe-in
metatarsus adductus, internal tibial torsion (most common) and hip anteversion
When is femoral anteversion considered excessive?
10-15° is normal
What would you observe with talipes equinovarus (clubfoot)?
How is it treated?
PF, inversion, adduction of the foot
Manipulation followed by casting, Stretching with orthoses in the day for 3 mo, and at night for up to 3 years
What is the typical pattern for gene vacuum?
Normal for newborns and infants
Max at 6-12 months
Straightened by 18-24 months
Max valgus at 3-4 years
straightened by 7 years
- risk factors
- special tests
Abnormality in size, shape, or orientation of femoral head, acetabulum or both.
Can result in subluxation or dislocation
- Females >males, breech position, family hx, low amniotic fluid, swaddling too tightly
- Barlow, ortolani, limited hip abduction, galeazzi sign, klisic sign
- Pavlik harness = gold standard: hip in flexion, abduction
Acute hip pain in ages 3-10, inflammation of hip synovium
- unilateral hip or groin pain, crying at night, antalgic limp, recent upper respiratory tract infection
- NSAIDS, rest, lasts 7-10 days
Legg-Calve Perthes Disease
Interrupted BS to femoral head
- ages 2-13 years
- Limp with psoas weakness, gradual onset pain, limited AROM in abduction/ extension
- cast, possibly surgery
Slipped Capital femoral epiphysis SCFL
Most common hip disorder in adolescents: femoral head displaces posterior-inferior
What are the three tendon-lengthening conditions
Osgood-Schlatter disease: apophysitis of patellar tendon from tibial tubercle
Sever's Disease: apophysitis of achilles from calcanea t tuberosity
Sinding-Larsen Johannson's disease: apophsitis of patellar tendon from patella
Occurs in adolescents 12-15 years
- Separation of cartilage from bone, usually at medial femoral condyle