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22 Cards in this Set
- Front
- Back
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Osgood schlatter is a _ injury in the _ child. Most common in Boys/Girls ages _
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overuse injury
rapidly growing child active boys ages 11-13 It is repetive stress and quadricep pulling on the apophysis of the tibial tubercle |
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P/E of a child with osgood schlatter would reveal _
What would an x ray look like? |
Physical exam-tenderness and swelling at the tibial tubercle.**
X-ray-may reveal elevation at the tibial tuberosity** |
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How do you treat the active boys (ages 11-13) with osgood schlatter?
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Ice, Streching, Rest
Sports and strenuous activities should be restricted for 2-3 months |
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Due to a child’s unique anatomy of the metaphyseal circulation, there is a higher incidence of _
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hematogenous osteomyelitis.*
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Patellofemoral Stress syndrome is aka _, and it is Anterior knee pain caused by _ in the _
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Runner's syndrome
abnormal patellar tracking in the trochlear groove.* |
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Child presents with anterior knee pain that increases with running, kicking and jumping, and is worse when walking uphill.
Upon PE, you note crepitus during flexion and extension. When you press on the patella, the pain gets worse. What is the suspected dx? How would you treat this? |
Patellofemorall Stress Syndrome PFSS
Rest, antiinflammatories, PT |
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What is the most common elbow injury in children younger than 5?
How do you treat it? |
nursemaids elbow
Reduction |
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If a foot infection arises 24-72 hours after an accident, what is the most likely pathogen?
What if it takes several days? |
Staph aureus
Pseudomonas aeruginosa |
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Growing pains occur most commonly in (m/f) ages _
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boys ages 2-5
They are in the LE and typically happen at night |
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Pes Cavus is a foot with an abnormally _ arch.
how do you treat? |
high
arch support |
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Pes Planus is a foot with an abnormally _ arch.
How do you treat? |
low or absent arch
its usu asymptomatic, but you need to determine that the foot is not rigid |
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Talipes Equinovarus is a congenital defomity consisting of 4 components, what are they?
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1)Plantar flexion (equinus) of the ankle. 2) Adduction (varus) of the heel. 3)High arch (cavus) 4)Adduction of the forefoot
aka club foot |
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Buckle fractures is when _
It typically occurs when _ |
One side of the cortex is disrupted (or “buckle”), but the other side remains intact.*
when falling on an outstretched hand. |
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Growth plate fractures typically use the _ classification to describe them
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Salter-Harris
SALTR - Slipped, Above, Lower, Through, Rammed (compressed) |
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What Salter-Harris classification is this?
a fracture through the physis and the metaphysis, but the epiphysis is not involved in the injury.* |
SH II
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What Salter-Harris classification is this?
A transverse fracture through the physis. The width of the physis is increased.* |
I
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What Salter-Harris classification is this?
A fracture through the physis and the epiphysis. This fracture passes through the hypertrophic layer of the physis and extends to split the epiphysis, inevitably damaging the reproductive layer of the physis.* |
III
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What Salter-Harris classification is this?
The fracture passes through the epiphysis, physis, and metaphysis* |
IV
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The metaphyseal fragment from a SH II fracture is sometimes called the _ fragment
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Thurston-Holland fragment*
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Little leaguer elbow has pain to the _
How do you treat this? |
medial epicondyle
no throwing for 3-6 weeks! |
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How do you diagnose little leaguer elbow?
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xrays with comparison views of the contralateral side.
You will see swelling, widening, or avulsion of the medial epicondyle |
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In children, the _is often the weak link*
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bone tendon junction
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