Ped Ortho I

Front 1

Pediatric fractures

Back 1

remodelling potential is high abut growth plate cna cause permanent growth arrest

non-accidental trauma

Front 2

Salter Harris fracture

Back 2

distal femur physis fracture

Front 3

Classification of the Salter Harris Growth plate injury

Back 3

1: transverse through the zone of calcification and doesnt result in permanent damage usually

2: through the hypertrophic zone and the metaphysis

3: through the hypertrophic zone and the epiphysis

4: thtough the resting reserve zone and metaphysis and epiphysis

5: crush injury will cause permanent growth arrest

Front 4

Scoliosis

Back 4

lateral curvature of the spine of more than 10 degrees

when performing the Adams bend test the spine will rotate and cause teh ribs to be prominantly seen

Front 5

Congenital scoliosis

Back 5

fusion of some of the verterbrae or misshapen

just because you are born with a defect doesnt mean you have a congential defect

neuromuscular as an etiology in spina bifida and DMD and CP

Front 6

idiopathic breakdown

Back 6

criteria based on age and location

early onset vs late onset cut off is 5-6

based on the time when alveoli are fully developed

mideline skin defect may be indicative of an ectoderm folding disorder

Front 7

Sprengels deformity

Back 7

maldevelopment of the scapula resulting in it being located in the neck and possibly attached to the cervical spine

Front 8

Cobb angle

Back 8

meaures the two post angled portions then draw perpendiculars and determine the angle

Front 9

Bracing

Back 9

only during growth

if you have a much more curve you are much more likely to progress yo more curve

Front 10

DDH develop. dysplasi of the hip

Back 10

spectrum of instability of the hip

shallow or steep roof to the acetabulum which prevents the hip from remaining in socket

Front 11

DDH

Back 11

leads to early arthritis

usually have normal gaits untill later in childhood

Front 12

Risk factors for DDH

Back 12

breech presentation at birth

female sex (baby is responding to the same hormones that relax the mother)

tight womb

ligamentous laxity

Front 13

DDH etiology

Back 13

oligohydramnios = tight womb

first born

packaging problems, such as metatarusus adducutus and torticollis (twisted neck)

Front 14

DDH Dx

Back 14

need to dx early for proper treatment

if at walking age will need surgery

not painful

short leg and limp toe walking

Front 15

Ortolani maneuvur

Back 15

reduces a dislocated and looks for the thunk

Front 16

Barlow

Back 16

adduct and dislocate the hip posteriorly

Front 17

In older babies

Back 17

no clunking in the barlow maneuveur but you will see reduced abduction and asymmetric thigh folds

Front 18

Galeazzi sign

Back 18

apparent leg length inequality due to hip being out of the socket

Front 19

Waddling gati

Back 19

trednelenberg sign

Front 20

Closed reduction

Back 20

if the pavlik does not work the child will have a mild surgery and reduce it with a cast then

Front 21

Open reduction

Back 21

for older ages

Front 22

Slipped capp femoral epiphysis

Back 22

usually male and heavier

Front 23

etiology

Back 23

thickened hypertrophic zone and will have knee pain with walking that is impaired

Front 24

Legg Calve Perthes Disease

Back 24

idiopathic avascular necrosis

final pathway is vascula insult to immature femoral head

causes arthritis

Front 25

Etiology

Back 25

bone dies and can be mishapen, the blood supply will come back but a permanent deformity can cause log term damage

Front 26

Rotational abnormalities

Back 26

crooked legs

in toeing and out toeing

not a function problem