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5 Cards in this Set

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Hx:10yo F c/oin ED ant knee pain p/ a fall from her bicycle. PE= ecchymosis and swelling over the patella and an extensor lag. A lat xray is shown in Fig A. What is the next step in tx? 1-ORIF; 2- Quadraceps tendon repair; 3-Cylinder cast; 4-Knee ...
Hx:10yo F c/oin ED ant knee pain p/ a fall from her bicycle. PE= ecchymosis and swelling over the patella and an extensor lag. A lat xray is shown in Fig A. What is the next step in tx? 1-ORIF; 2- Quadraceps tendon repair; 3-Cylinder cast; 4-Knee aspiration; 5-Reconstruction of the patella tendon
Patella sleeve fractures occur most commonly in children aged 8-12. This injury involves an avulsion of cartilage (and sometimes a small piece of bone) from the inferior pole of the patella. These fractures may be missed on plain radiographs if th...
Patella sleeve fractures occur most commonly in children aged 8-12. This injury involves an avulsion of cartilage (and sometimes a small piece of bone) from the inferior pole of the patella. These fractures may be missed on plain radiographs if there is no obvious bony injury. Radiographs will typically show an effusion, patella alta, and possibly a bony avulsion. In uncertain cases, an MRI is useful to define the extent of injury. Treatment for displaced sleeve fractures involves open reduction and fixation of the injury to restore the extensor mechanism.Ans 1
Which statements re: child abuse is correct? 1-It is the 2nd MCC of death in children >1 yr of age
2-Abuse is MC in children from ages 3-6 yrs; 3- Burns are the MCC of long-term physical morbidity
4-Fx are the MC presenting injury; 5-Metaphyseal fx 4x MC than diaphyseal fx
Child abuse is the 2nd most common cause of death in children > 1 year of age, behind accidental injury. there is no single pathognomonic sign or symptom, necessitating that the treating physician look at the case as a whole. The child's age, the overall injury pattern, the stated mechanism of injury, and pertinent psychosocial factors must all be considered in each case, Incorrect Answers:
# 2: Child abuse is MC in children < 3 years old.
Answer 3: Head injury is the most frequent cause of long term physical morbidity.
Answer 4: Skin lesions are the most common presentation.
Answer 5: Diaphyseal fractures are four-times more common than metaphyseal fractures.Ans1
Which of the following is the MC presenting fx pattern seen in abused children?  1-Metaphyseal corner fx; 2-Spiral long bone fx; 3-Multiple fxs in different stages of healing; 4-Single transverse long bone fx; 5-  Pos rib fx
Which of the following is the MC presenting fx pattern seen in abused children? 1-Metaphyseal corner fx; 2-Spiral long bone fx; 3-Multiple fxs in different stages of healing; 4-Single transverse long bone fx; 5- Pos rib fx
skull fractures were the most prevalent fractures seen in battered children. Second to skull fractures were single, transverse long bone fracture in prevalence.Ans4
skull fractures were the most prevalent fractures seen in battered children. Second to skull fractures were single, transverse long bone fracture in prevalence.Ans4
Hx:15yo M c/o pain and progressive deformity L knee. xray fig A, w/ the tibial growth plate nearly closed. PE= significant varus and a LLD 2.5cm R >L. Which is the most appropriate method of management at this time?
Hx:15yo M c/o pain and progressive deformity L knee. xray fig A, w/ the tibial growth plate nearly closed. PE= significant varus and a LLD 2.5cm R >L. Which is the method of management at this time? 1-Orthotics; 2-Hemiepiphysiodesis of the L prox tibia, medial side only; 3-Hemiepiphysiodesis of the L proxi tibia, medial and lateral sides; 4- L prox tibia osteotomy w/placement of ex-fix; 5-L proximal tibia osteotomy with plate fixation
Adolescent Blount's disease with significant varus malalignment, a coexisting leg-length discrepancy, and closed growth plates is best treated=prox tibia osteotomy w/ placement of an ex-fix.
Adolescent Blount's disease with significant varus malalignment, a coexisting leg-length discrepancy, and closed growth plates is best treated=prox tibia osteotomy w/ placement of an ex-fix.Ans4
An infant is born w/a unilateral LE deformity. A clinical photo fig A. xrays fig B. Which of the following conditions are assoc w/ this type of deformity? 1-knee instability; 2-residual LLD; 3- pseudoarthrosis; 4-scoliosis; 5-tarsal coalition
An infant is born w/a unilateral LE deformity. A clinical photo fig A. xrays fig B. Which of the following conditions are assoc w/ this type of deformity? 1-knee instability; 2-residual LLD; 3- pseudoarthrosis; 4-scoliosis; 5-tarsal coalition
posteromedial tibial bowing which is thought to be a result of intrauterine positioning. While the tibial bowing deformity usually improves, a progressive leg length discrepancy develops which (like other types of congenital limb length inequality...
posteromedial tibial bowing which is thought to be a result of intrauterine positioning. While the tibial bowing deformity usually improves, a progressive leg length discrepancy develops which (like other types of congenital limb length inequality) remains proportional throughout growth. The ultimate difference ranges from 3 to 8 cm.Ans2