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33 Cards in this Set
- Front
- Back
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a twisted neck, head tipped to one side, chin turned to the other; rigid sternocleidomastoid
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tortocollis
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tx for tortocollis (early)
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baclofen
botox passive stretching -- recommended |
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cast for torticollis
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minerva cast
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how many wks immobilization for Tortocollis
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12 wks
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head of the femur not fully developed / abnormal development of the hip socket
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DDH
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s/s of DDH
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waddling gat
extra fold one taller leg hip clicks (+) trendelenburg test |
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Harness for DDH
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Pavlik harness
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complications of DDH
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AVN of the femoral head
lordosis joint malformation |
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causes of DDH
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breech birth
fetal position genetics laxity of ligaments |
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cast for DDH
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spica
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flattening of the head of femur due to vascular compromise
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Legg-Calve-perthes disease
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five stages of LCP disease
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Growth arrest
subchondral fx reabsorption reossification healing stage |
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tx for LCP disease
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bed rest
hip abduction splint osteotomy spica cast |
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cutting the bone to line somethin up to cover something up
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osteotomy
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complications of LCP disease
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premature osteoarthritis
pain from hip to knee |
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what to remember with Slipped Capital Femoral Epiphysis
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put the kid on a wheelchair
30% who slipped on one side would slip on the opposite side |
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referring to a fracture through the physis (the growth plate), which results in slippage of the overlying epiphysis.
The capital (head of the femur) should sit squarely on the femoral neck. Abnormal movement along the growth plate results in the slip |
SCFE
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s/s of SCFE
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charlie chaplin walk
thigh pain (posterior/inferior) |
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complication of SCFE
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epiphyseal degeneration
AVN |
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tx for SCFE emergencies
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no walking
wheelchair NPO |
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treatable case of SCFE
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Grade I
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a congenital disorder in w/c the foot and ankle are twisted and can't be manipulated into the correct position
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congenital clubfoot
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most common clubfoot
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talipes equinovarus
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clubfoot: most common: unilateral or bilateral?
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unilateral
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tx for clubfoot
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weekly casting x 6-8 wks.
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what to teach parents about clubfoot casts?
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teach how to unravel
protect skin avoid aggressive correction surgery at 6-12 mos if casting doesn't work teach parents how to diaper |
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5Ps when assessing orthopedics kids
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Pain
Pulse Pallor Paresthesia Paralysis |
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a lateral curvature of the spine that may occur in the thoracic, lumbar or thoracolumbar spinal segment
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scoliosis
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incidence of scoliosis
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most common in females
puberty to adolescence |
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how many degrees till considered scoliosis?
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15 degrees rotation of spine
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measures truncal rotation
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Adam's test
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measures angle of curvature
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Cobb test
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post op care for insertion of rods and spinal fusion (scoliosis)
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log-roll the patient
HOB flat skin care maintain alignment |
