Pediatrics Flashcards
(34 cards)
Degree on Adams forward bend that warrants referral
7 degrees
AIS degrees and treatment
<25 and skeletally immature = Observation
<40 and skeletally mature = Obserbvation
25- 40 and skeletally immature = Brave
> 50 = surgery
Levels in AIS that require CTLSO
Apex The 7 or higher
Age for early onset scoliosis
less than ten years old
RVAD in early onset with high progression
Greater than 20
Scoliosis in NF
Two types:
Nondystrophic
Dystrophic
- Vertebral scalloping
- Enlarged foramina
- Pencilling of ribs
Treat with anterior and posterior fusion due to high risk of pseudoarthrosis
Treatment of scheurman’s kyphosis
PSF with curves over 90
Trias of Klippel Feil syndrome
Low hairline, webbed neck, limited cervical ROM
Avoid contact sports
When to abandon pavlik in DDH
if not reduced in 3 weeks
5 obstacles to reduction in DDH
- Inverted limbus
- TAL
- Pulvinar
- Inferomedial capsule
- Iliopsoas
When to add pelvic osteotomy in DDH
> 4 years old
When to leve dislocated hip alone
Bilateral > 6
Unilateral > 8
Mutation in cleidocranial dysplasia
CBFA1 mutation
Autosomal dominant
Mutation in Aperts
FGFR2
Rose bud limbs
Mutation in SED
COL2A1
Diatrophic dysplasia
AR
Choromosome 5, DTSDT gene sulfate transporter gene
Cauliflower ears and hitchhikers thumb
Hurler
Deficiency?
Accumulation?
Def: alpha L iduronidase
Accumulation: Dermatan sulfate
San Filippo accumulation
heparin sulfate
Morquio acuumulation
keratan sulfate
OI mutation
COL1A2
missense mutation with glycine substitution on procollagen leading to abnormal crosslinking
Larsen syndrome
AD or AR
Filamin B mutation
Multiple joint dislocations
MOA of Baclofen
activates GABA
CP kid, how to predict if able to ambulate?
Sitting at age 2
Acetabular deficiency in NM dysplasia vs DDH
NM: posterior superior
DDH: anterolateral
