Term
| What is the age of boney maturity for M and F? |
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Definition
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Term
| Describe the typical varus/valgus variants from birth to age 6. |
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Definition
| Varus @ birth --> Valgus by 2yrs --> neutral by 3.5yrs. |
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Term
| how does hip anteversion change from birth - WB years? |
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Definition
| It starts out very anteverted, then changes to more neutral. |
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Term
| What are the tests for developmental hip dysplasia? |
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Definition
| Barlow, Ortolani, Galeazzi, Abduction Sign |
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Term
| What is Perthe's disease? Age of onset? Sx? |
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Definition
| Avascular necrosis of the piphyseal plate - caused by infection, inflammation, maybe trauma. Age = 4-8yrs old, usually boys. Sx=Knee pain & limp. |
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Term
| What are the Sx of and Tx for SCFE? |
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Definition
| Sx= Knee pain, ER of hip, limping. Tx = Immobilization and pinning. |
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Term
| What is the change in mechanics following femoral osteotomy? |
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Definition
| Creates more varum in the neck, which moves the greater trochanter more superior and puts the glut medius on slack, so kicks will be weak after --> trendelenburg gait pattern. |
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Term
| What is the tx for perthes disease? |
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Definition
| Brace for 2-3 years, 23.5hrs/day. |
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Term
| s/p what surgery will you likely see trendelenburg gait? |
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Definition
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Term
| What is Blount's Disease? What is its cause? What is tx? |
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Definition
| Bow-leggedness, caused by obesity and treated w/ osteotomy. |
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Term
| What is tarsal coalition? Cause? Sx? |
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Definition
| Calcaneonavicular joint is fused. Cause: congenital. Sx: foot and peroneal pain, painful flat-foot, ROM limited and painful. |
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Term
| What is the common age for a child to present w/ tarsal coalition? What is done for it? |
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Definition
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Term
| What are goals for UCBLs? (3) |
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Definition
| To support/build the arch, align the foot under the knee, and prevent secondary alignment problems. |
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Term
| Describe how to measure the acetabular index. A measure of ? is cause for great concern. |
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Definition
| Connect the triradiatecartilage w/ a horizontal line, and drop a perpendicular line from each acetabular edge. Document the % of the femoral head is outside of the lines. >25% of head outside of acetabulum = a big deal! |
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Term
| What is the acetabular slope, and what are the normative values for newborns, 10yo, and adults? |
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Definition
| The angle between a vertical line dropped through pubic symphesis, and the diagonal created by connecting the ASIS and AIIS. Newborns = 31*, 10yo = 39*, Adult = 37-47* (42* is mean) |
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Term
| What is Shenton's line, and what should it look like? |
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Definition
| The line following the obturator foramen to the neck of the femur. It should be ncie and smooth with no breaks. |
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Term
| In what direction is equinus deformity? How severe must it be before it is given this title? |
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Definition
| Plantar flexion. First met head has to be below the heel pad. |
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Term
| What is normal subtalar mobility? |
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Definition
| 15-25* of inversion, 5* of eversion. |
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Term
| What do R1 and R2 tell you? |
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Definition
| R1= what they are able to attain actively; functional limitation. (bring extremity up quickly and measure where it stops) R2 = total available rainge w/ therapeutic stretch. Tells the health of the soft tissue. |
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Term
| What does it mean if R1=R2? |
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Definition
| There is a rigid contracture that stretching won't help. |
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