Brs Pedes Ortho

Front 1

most common cause of brachial plexus injury

Back 1

d/t birth trauma

Front 2

flaccid arm, assymetric Moro reflex, internal rotation*, "waiter's tip"

Back 2

C5,6 Erbs palsy

Front 3

"claw hand" from unopposed finger flexion and can't extend elbow or flex the wrist

Back 3

C7,8 (horners if T1 as well) Klumpke's palsy

Front 4

subluxation of radial head (kid keeps elbow flexed) from upward force on the arm

Back 4

nursemaids elbow

Front 5

excessive EXternal rotation of shoulder

Back 5

anterior shoulder dislocation (do axillary* XR)

Front 6

contracture of SCM muscle in utero

Back 6

congenital torticollis

Front 7

tx for congenital torticollis

Back 7

stretch mucle for 6 months, resolves

Front 8

too much hyperextension of the back causing stress fracture of pars interarticularis*

Back 8

spondylolysis

Front 9

slipped disk from spondylolysis

Back 9

spondylolisthesis

Front 10

most common cause of diskitis

Back 10

staph aureus infxn

Front 11

risk factor for developmental hip dysplasia

Back 11

breech

Front 12

"clunk"y hip

Back 12

DHD

Front 13

assymetric gluteal folds

Back 13

DHD

Front 14

Tx for DHD

Back 14

harness, then surgery

Front 15

most common organisms causing septic hip

Back 15

staph aureus or strep pyogenes

Front 16

labs on septic hip

Back 16

wbc, esr, crp, sometimes fever

Front 17

what often precedes transient toxic synovitis of the hip

Back 17

URI or diarrhea

Front 18

tx for transient synovitis

Back 18

nsaids, rest

Front 19

what patients are more likely to have BILATERAL* SCIFE?

Back 19

those with hypothyroidism*

Front 20

most common organisms causing osteomyelitis of the bone

Back 20

staph aureus & strep pyogenes, salmonella if sickle cell, pseudomonas if steps on a nail

Front 21

cuases of IN-TOEING

Back 21

-metatarsus adductus (medial curvature of the metatarsals)

-talipes equinovarus (clubfoot)

-internal tibial torsion

-femoral anteversion (fever angulates in)

Front 22

patient is less than 1 years old, foot looks like a club foot but able* to dorsiflex

Back 22

metatarsus adductus, treat with casting

Front 23

foot is fixed in* with no flexibility, cannot dorsiflex!!!q

Back 23

club foot

Front 24

tibia is medially rotated, so foot points in

Back 24

internal tibial torsion: foot points medially when knee is flexed to 90degrees

Front 25

most common cause of in-toeing in kids less than 2

Back 25

intrnal tibial torsion

Front 26

most common cause of in-toeing in kids older than 2

Back 26

femoral anteversion (child sits in "W" position!!!)

Front 27

gena varum (bowed legs)

Back 27

resolves by 2 years of age

Front 28

blount's disease

Back 28

legs still bowed after 2 years: brace or do surgery

Front 29

age of onset for genu valgum (knock knees)

Back 29

3-5yo

Front 30

how long is it ok to hav knock knees

Back 30

till 10yo

Front 31

growing pains

Back 31

pain doesn't interfere with play! ;)

Front 32

kid falls on outstretched arm/elbow

Back 32

supracondylar fracture

Front 33

point tenderness, swelling, deformity of elbow

Back 33

supracondylar fracture

Front 34

when is supracondylar fracture an emergency?

Back 34

if it is displaced/angulated* because neurovasular injury and compartment syndrome can happen!