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what are stronger than bones until puberty?
ligaments and tendons
what is the most common area for a child to break a bone?
distal forearm
plastic deformation
buckle/torus break
greenstick fracture
complete fracture
complete break with periosteal hinge
a child who had a cast placed complains of pain and tightness - what do you suspect?
compartment syndrome
a group of conditions that cause the femoral head and the acetabulum are improperly aligned
developmental dysplasia of the hip (DDH)
what is a common causative factor DDH?
breech position
an infant’s one knee is lower than the other when their legs are flex, this is known as -
Galeazzi sign
what maneuvers can be done by a physician to check for HHD?
Ortolani and Barlow
when do minor cases of DDH normally resolve?
4 months
what is the treatment for DDH if the infant is less than 6 months old?
bracing (23 hours a day)
what is the treatment of DDH if the child is older than 6 months?
closed reduction with spica casting
plantar flexion of the foot, inversion of the heel, and medial deviation of the forefoot are all parts of -
clubfoot
what is the treatment of choice for clubfoot?
serial casting (Ponseti method)
what are options of serial casting is not working to repair clubfoot?
tenectomy or surgical repair
medical adduction of the toes and forefoot are referred to as -
metatarsus adductus
what normally causes metatarsus adductus?
positioning in utero
what are the common treatments for metatarsus adductus?
usually stretching, can be surgical
inherited connective tissue disorder where the production of collagen is effected, resulting in fragile bones -
osteogenesis imperfecta
what is the most severe form of osteogenesis imperfecta?
type 2
what is the most common type of osteogenesis imperfecta?
type 1
what dietary changes should be suggested for a child with osteogenesis imperfecta?
high vitamin D and calcium intake
a self-limited condition of avascular necrosis of the femoral head as a result of an interruption in blood supply
Legg-Calve-Perthes disease
what is a hallmark sign of Legg-Calve’-Perthes disease?
limp with mild to severe pain
condition where the femoral head is displaced from the femoral neck
slipped capital femoral epiphysis
what is a common predisposing factor for slipped capital femoral epiphysis?
obesity
what is the hallmark sign of slipped capital femoral epiphysis?
pain and a limp
a lateral curvature of the spine that is associated with a rotational deformity?
scoliosis
dose a child with scoliosis experience pain?
rarely
how often should a child with a brace wear it within the day?
23 hours
how should a brace be worn for scoliosis?
over a shirt; not directly on the skin
where is osteomyelitis more common?
lower extremities
what is the most common cause of osteomyelitis?
bacterial infection
what is the most common bacteria that causes osteomyelitis?
staph aureus
what are the expected laboratory findings associated with osteomyelitis?
elevated WBCs, elevated ESR, and elevated CRP
what is the treatment for osteomyelitis?
broad spectrum antibiotics (vancomycin and clindamycin)
what are common side effects of vancomycin use?
hearing and kidney problems