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11 Cards in this Set
- Front
- Back
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What is the basic defect that leads to coxa vara?
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Triangular ossification defect in inferomedial femoral neck
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What is the characteristic growth plate appearance?
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Inverted Y
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lf developmental (i.e., not congenital), is the varus static or progressive?
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Progressive
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What is the inheritance?
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AD
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What is the key physical exam finding of coxa vara?
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Decreased abduction
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What is the classic gait pattern?
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Trendelenburg
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What is the significance of the Hilgenreiner epiphyseal angle? What is the prognosis if <45 degrees? 45 to >60 degrees? >60 degrees?
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<45 degrees: spontaneously corrects
45 to 60 degrees; observe >6O degrees: operative treatment |
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What is the neck shaft angle threshold for surgical intervention?
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110 degrees
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What is the operative procedure of choice?
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Pauwel osteotomy (valgus with or without DRO [derotation osteotomy])
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What is the common complication of treatment?
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Premature proximal femoral physeai closure
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Therefore, what is recommended postoperatively?
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Must follow for possible
development of leg length discrepancy |
