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Flashcards in peds47 Deck (24):
1

management of nursemaid's elbow

reduce it by simultaneously flexing the elbow and supinating the hand

2

prognosis of nursemaid's elbow

excellent; reduction is grat; subluxation may recur

3

anterior shoulder dislocation

most common type of shoulder dislocation; treatment by immobilization; recurrance rate is 90%, so some docs recommend surgery

4

torticollis

tilting of the head to one side

5

congenital torticollis

very common; usually the result of uterine constraint or birth trauma; can rarely be caused by cervical spine abnormalities (Klippel-Feil syndrome)

6

congenital torticollis- contracture of what msucle?

sternocleidomastoid

7

clinical features of congen torticollis

head tilited TOWARD affected side with; bleeding into the muscle can sometimes be palpated

8

management of torticollis

stretching exercises to relieve the musscle contracture; helmet therapy if needed

9

acquired torticollis

rare compared to congenital; multiple causes

10

atlantoaxial instability

unstable joint between occiput and the first cervical verebrai or between first and second cervical vertebrae;

11

clinical features of atlantoaxial instability

asymptomatic and normal phys exam; spinal cord injury may occur if patient with instability sustains injury;

12

management of atlantoaxial instability

fusion of C1 and C2 if instability is severe

13

klippel-feil syndrome

failure of normal vertebral segmentation that results in fusion of vertebrae; usually cervical spine; assoc with Sprengel's deformity

14

Sprengel's defomity

congenital abnormality of the scapula in which the scapular is rotated laterally leading to shoulder asymm and diminsed shoulder motion

15

scoliosis

lateral curvature of the spine

16

cobb angle

using radiograph to determine the degree of scoliosis

17

management of scoliosis

observation, bracing, surgery

18

progression of scoliosis

only occurs during growth or if spinal curvature is greater than 50 deg; almost all growth in females ceases within 6 mos of menarche

19

management of scoliois before and during growth spurt

for 10-20 deg of scoliosis, a follow-up scoliosis film is obtained 4-6 mos later to assess for progression; five degrees of prog requires ortho consult; for 20-40 deg, bracing; for greater than 40 deg, surgery

20

management of scolioisis after growth has concluded

surgery is considered if scoliosis greater than 50 deg

21

complications of scoliosis

such as resp or CV compromise, may occur if scoliosis greater than 60 deg

22

kyphosis

ant-post curvature of the thoracic spine

23

flexible kyphosis

most kids with kyphosis have flexible kyphosis, in which they can voluntarily fix the kyphosis

24

Schuermann's kyphosis

stiff idiopathic kyphosis in which three consec vertebrae are wedged