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23 Cards in this Set
- Front
- Back
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What are six physis injuries seen in pediatric patients?
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1. Slipped capital epiphysis
2. Avulsion ACL 3. Osgood-Schlatter's 4. Sinding-Larsen 5. Avulsion Medial Epicondyle 6. Sever's Disease |
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This is a injury at the growth plate, slippage of the femoral head on the femoral neck is seen. It is primarily in overweight adolescents 11-13 years old, there is hip pain to knee, limp for months, X-Ray-Frog Leg view, Surgical intervention is required.
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Slipped Capital Femoral Epiphysis
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This is an avulsion fracture of the tibial spine attachment of the ACL. It is a hyperextension injury, pain, instability and a very large effusion, there will be a positive lachman and drawer test, an MRI is done for confirmation, repair is controversial.
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Avulsion ACL injury
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This occurs in repetitive over use injury to the tibial apophysis. Seen in very active 10-15 year old boys more than girls, pain/ache increasing with activity, pain with direct palpation, maybe swelling of tubercle, X-Ray if not responding to TX, TX is rest for 4-6 weeks.
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Osgood-Schlatter's
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This is a repetitive stress injury to the junction of the patella and patellar tendon. Seen in active 10-12 year old boys more than girls, Pain jumping, stair climing, kneeling, X-Ray if resistant to TX, TX is relative rest for 4-6 weeks.
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Sinding-Larsen
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This is also known as Pitcher's elbow.
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Avulsion medial epicondyle
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This is also known as little league elbow, repetive stress to elbow, pain, swelling, loss of performance, flexion contracture may occur, X-Ray if resistant to TX, TX = rest for 4-6 weeks.
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Avulsion medial epicondyle
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If the avulsion is >__mm - surgical repair is necessary.
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>5mm
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This is a repetitive stress injury to the calcaneal apophysis, active 8-11 y/o boys>girls, pain increasing with activity and cleats, X-Ray if resistant to TX, TX - Relative rest, stretching.
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Sever's Disease
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Idiopathic osteonecrosis of femoral head. May be blood loss to epiphysis. 4-8 y/o boys>girls, hip pain to knee, increases with activity, limp, X-ray-frog leg, MRI, observe to surgical repair.
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Legg-Calves-Perthes Disease
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If you have pain in the tibial tubercle it is most likely?
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Osgood Schlatter's
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If you have pain in the patellar tendon it is most likely?
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Patellar tendinitis
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If you have pain in the patella it is most likely?
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Fracture
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If you have pain in the inferior pole of the patella it is most likely?
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Sinding-Larson
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If you have pain in the Superior pole of the patella it is most likely?
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Quadriceps tendinitis
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If there is pain in the medial joint line it is most likely what two things?
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1. Medial meniscus tear
2. Anserine bursitis |
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If there is pain in the lateral joint line it is most likely what?
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Lateral meniscus tear
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Medial femoral condyle pain could be what two things?
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MCL tear
Physis injury |
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Lateral femoral condyle pain could be what two things?
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LCL tear
Iliotibial band syndrome |
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Pain in the fibular head is most likely?
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LCL tear
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Pain in the medial retinaculum is most likely?
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Patellar femoral syndrome
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The mechanism of this is twisting/pivot foot when planted, occurs in soccer due to cleated shoes, football, patient may complain of locking or clicking, medilal:lateral occurance is 3:1.
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Meniscal tears
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What is seen in the physical exam of a meniscal tear?
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Small effusion-because mostly avascular
Pain on medial or laterl joint lines ROM may be blocked Pain may increase with flexion Positive McMurray's Positive Apley's compression |
