Term
| What kinds of fractures are unique to peds? |
|
Definition
-green stick
-longitudinal |
|
|
Term
| Where on the bone does growth occur? |
|
Definition
|
|
Term
| Where on the bone does highest metabolism occur? |
|
Definition
|
|
Term
| Where on the bone do overuse syndromes occur? |
|
Definition
|
|
Term
| What are some causes of Bell's Palsy in childhood and adolescence? |
|
Definition
-mono/EBV
-herpes simplex
-Lyme Dz |
|
|
Term
| When are oblique views of radiographs needed? |
|
Definition
|
|
Term
| What is a sequelae of undetected DDH? |
|
Definition
| -painful chronic arthritis of hip |
|
|
Term
| What are risk factors for DDH? |
|
Definition
-breech delivery
-female
-caucasian, NA
-family hx |
|
|
Term
| The left hip is more frequently affected by DDH. T/F |
|
Definition
|
|
Term
| DDH should be tested for at every well visit until ___?___ |
|
Definition
|
|
Term
| What is the Allis or Galeazzi sign? |
|
Definition
|
|
Term
| What are diagnostic tests for DDH? |
|
Definition
-U/S: birth to 4/5 mos
-X-ray: > 6 mos |
|
|
Term
| What is early treatment of DDH? |
|
Definition
|
|
Term
| Genu varum is considered normal birth to ___?___ |
|
Definition
|
|
Term
| What are physical exam findings in genu varum? |
|
Definition
-distance between knees is 2.5 cm
-tibiofemoral articulation angle 10-15 degrees |
|
|
Term
| Genu valgum usually develops by ___?___ and resolves by ___?___ |
|
Definition
|
|
Term
| What are physical findings in genu valgum? |
|
Definition
distance bw medial malleoli:
- > 2 in at 2 yrs
-3 in at 3 yrs
-4 in at 4 yrs |
|
|
Term
| What are conditions of in-toeing? |
|
Definition
-metatarsus adductus
-internal tibial torsion
-femoral anteversion |
|
|
Term
| What is usual management of internal tibial torsions? |
|
Definition
-spontaneously corrects after walking
-refer if thigh-foot angle > 30 degrees |
|
|
Term
| When is femoral anteversion treated surgically? |
|
Definition
| when rotation > 50 degrees at 8 yo |
|
|
Term
| What occurs in radial head dislocation/Nurse Maid's Elbow? |
|
Definition
| ligament entrapped bw joint when child pulled up by the hand |
|
|
Term
| What X-rays are indicated in scoliosis? |
|
Definition
| scoliosis series, or AP and lateral |
|
|
Term
| What are features of Osgood-Schlatter Dz? |
|
Definition
-injury to tibial tuberosity
-10-15 yrs old
-pain with running
-tender, possibly enlarged tibial tubercle
-normal X-rays
-treated with rest, ice, NSAIDs, time |
|
|
Term
| What is a positive Trendelenburg sign in DDH? |
|
Definition
-stand, raise 1 leg off ground
-pelvis drops on side of raised leg
-indicates weakness of hip abductor muscles on weight-bearing leg- that side is affected |
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