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3 Cards in this Set
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10 yo G in ED c/o ant knee pn after fall from bicke. PE-> ecchyms & swellg patella & extensr lag. lat xray Fig A. Next step Tx? 1 ORIF; 2. Quad tendn repair; 3 Cylndr cast 4 Knee asprtn; 5 Reconstrc patella tendon |
MC; children 8-12. Avulsion of cartilage and sometimes inferr pole patella. fx missed xray if no obvious bony inj; effusion, patella alta, & poss bony avulsn. if >2-3 mm ORIF
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14yo B LL discrepncy w/ R leg < L. nl ht for age & skeltl age = chronolgc age. Hx/PE Tannr stag'g: beg pubrty 1 m ago. est final LL discrpncy skeltl mat = 30mm. Which surgical optn best 2 = LL discrepncy? 1Physeal staplg med
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tib & fem physis now w/ stagd removl staples @ 16; 2 Lengthng R fem w/ ring ex-fix now; 3. Epiphysiod L fem only @ 1 yr; 4 Epiphysiod L fem &L tib now; 5 Epiphysiod b/l fem & shortng L tib now. <2 shoe lft; 2-3 fem; 3-5 fem & Tib; >5 LL + epiphys Ans:4;
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