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Systems- development and pediatric soft-tissue, Joint, bone disorders of the MSK system

Terms in this set (25)

Dysplasia
abnormal development or growth of cells, tissues, or organs
Developmental Dysplasia is known as "congenitial hip dysplasia or dislocation" True or false
TRUE
With DDH the acetabulum and __________ ________ are not aligned normally
With DDH The acetabulum and FEMORAL HEAD are not aligned normally
85% of affected infants are _______
Male ir female
DDH is more common in female infants
DDH can occur unilaterally or Bilaterally, Which is most affected?
1 leg or both
It is most common unilaterally with the left leg being 3x more likely to be affected than the right
DEFINITION:
The femoral head remains in contact with the acetabulum but the head of the femur is partially displaced or uncovered.

Unstable hip dysplasia
Subluxation or incomplete dislocation
Complete dislocation
Subluxation or incomplete dislocation

Unstable-the hip is positioned norm but can be dislocated by manipulation
Complete dislocation- The femoral head is totally outside of the acetabulum
Limitation or asymmetry of 5-_____ degrees may indicate dysplasia and warrants REFERRAL to ortho.
Limitation or asymmetry of 5-10 degrees may indicate dyplasia and warrants referral
Gait for DDH
For a unilateral hip dislocation you will see_______ and for the bilateral hip dislocation you will see______

Waddling gait or Tredelenburg sign
unilateral= positive trendelenburg sign on involved side in stance phase
Bilateral=waddling gait
DDH is asspciated with Torticollis, metatarus adduction, calcaneovalgus
TRUE
Look for asymmetrical thigh/gluteal folds in DDH
True
1. the hip begins dislocated. the test will reduce the hip. Positive sign indicates a more unstable hip than a poitive barlow sign.

2. The knees are flexed and you're looking at the levels at the knees

3. The hip starts reduced and the Test will dislocate the hip

Barlow maneuver, Ortolani Maneuver, Gazzelli sign
1. Ortolani
2. Gazelle
3. Barlow
Pelvic Harness is used to treat DDH
Worn from ages birth- _____months
Restricts hip extension and __duction (ab or ad)
Alows active movemnt in a "Protevtive position"

Surgery happen after _____ months
Worn from ages bith - 6 months
Restricts hip ADDduction
Allows active movemnt in a Protective position

Surgery will happen after 6 months of age if the harness aint helpful
Leg-Calve' Disease (LCPD) is there a bacteria or infection associated with this disease?
NO
When discussing Leg calve withh the femoral head have a good blood supply or no?
No
Childerens disease that affects the ages of 3-12 but the most common age of onset is between 4-8
This is leg calve
In this disease child disease, it mostly affects the ages of 4-8 and the femoral head will flatten and enlarge before slowly remolding
Leg calv
This disease is self limiting and heals spontaneously within 1-3 years with revascularization of the avascular epipysis without treatment
Leg calv
Are males or females mostly affected by Leg Calv (LCPD)
Males: japenese, asians, eskimos, central europeans
2nd hand smoke makes it 5x more likely
Dr. lauderdals son had this: It differers from the common race of children who have this.
The child will have an insidious onset of a limp and may be referred for knee pain
Leg calv (LCPD) mostly asians have this. so a little shocking
The aversg time frame for complete healing of LCPD is 2.8 years and _____percent do not need intervention
Averge healing time is about 3 years and 60 percent do not even need intervention.it will heal on ots own. Most affects males betewwn the ages of 4-8.
Will wear a hip brace thingy
Slipped Capital Femoral Epiphysis
occurs when the head of the femur becomes displaced. relative to the femoral neck and shaft
The head looks like a sliding ice cream cone
Slipped Capital femoral
The average onset of slipped capital femoris is 14 for boys and ____ for girls but African american and hispanic ________ are mostly affected
The average onset for slipped is 14 for boys and 12 for girls and it moslty affect black and hispanic males
It ususally statrs at the onset of puperty and over 80% of the cases the black / hispanic male is obese.
Slipped capital femoris
At what age should immediate referral happen for a slipped capital femoris?
Before the age of 10 in both sexes
After the age of 14 for females
After the age 16 for males
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