Lecture 9 - Paediatric Ortho

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Questions and Answers

Which of the following is a characteristic of Erb-Duchenne paralysis?

  • Internal rotation of the shoulder, extended elbow, pronated forearm (correct)
  • External rotation of the shoulder, flexed elbow, supinated forearm
  • Adduction of the shoulder, flexed elbow, pronated forearm
  • Abduction of the shoulder, extended elbow, pronated forearm

What is the most common type of obstetric trauma related to Erb-Duchenne paralysis?

  • In uterus; premature birth
  • In uterus; breech presentation
  • In uterus; prolonged labor
  • In uterus; dystocia (correct)

Which condition is associated with physical deformity, ultrasound, and X-ray, and typically heals in 1 week with non-operative treatment?

  • Limb Length Discrepancy
  • Osteochondrosis
  • Varus/valgus deformity
  • Clavicle fracture (correct)

Which type of inheritance is associated with Osteogenesis imperfecta and Achondroplasia?

<p>Autosomal dominant (D)</p> Signup and view all the answers

Which foot deformity is characterized by cavus, hindfoot varus, plantarflexion of the 1st ray, and forefoot adduction?

<p>Cavovarus foot (D)</p> Signup and view all the answers

What is the treatment for limb length discrepancy based on the degree of discrepancy?

<p>Surgical with 8 plates (B)</p> Signup and view all the answers

What is the normal alignment for the lateral distal femoral angle in children?

<p>79-83° (A)</p> Signup and view all the answers

Which condition involves a disorder of bone growth primarily involving the ossification centers and shows radiological progression from metallization to fragmentation and regeneration?

<p>Osteochondrosis (A)</p> Signup and view all the answers

What is the most common birth defect associated with the foot deformities described in the text?

<p>Metatarsus adductus (D)</p> Signup and view all the answers

What is the characteristic deformity of planovalgus foot?

<p>Calcaneus valgus + flat arch (B)</p> Signup and view all the answers

What is the diagnosis for the presence of a genu valgum after 8 years old?

<p>Lower limb X-ray (A)</p> Signup and view all the answers

What is the treatment for metatarsus adductus?

<p>Surgical intervention (B)</p> Signup and view all the answers

Which of the following diseases involves defective osteoclastic resorption leading to bone fractures and hematopoietic defects?

<p>Osteopetrosis (D)</p> Signup and view all the answers

Which syndrome presents with joint hypermobility and fragile skin due to collagen forming gene mutations?

<p>Ehlers-Danlos syndrome (D)</p> Signup and view all the answers

What is the characteristic of Developmental Dysplasia of the Hip (DDH)?

<p>Dysplasia, subluxation, and possible dislocation of the hip (B)</p> Signup and view all the answers

Which disease results from insufficient mineralization of the osteoid due to Vit D deficiency?

<p>Osteomalacia (C)</p> Signup and view all the answers

What is the main cause of Osteogenesis imperfecta?

<p>Abnormal collagen resulting in fragility fractures (C)</p> Signup and view all the answers

Which disease is characterized by long bone bowing and ligamentous laxity due to inadequate calcium and phosphate?

<p>Rickets (A)</p> Signup and view all the answers

Which of the following is a connective tissue disorder with skeletal abnormalities and cardiovascular and ocular abnormalities?

<p>Marfan syndrome (B)</p> Signup and view all the answers

What type of ossification processes are involved in Osteogenesis?

<p>Endochondral and Intramembranous (C)</p> Signup and view all the answers

What is the incidence of Developmental Dysplasia of the Hip (DDH)?

<p>1-20% (C)</p> Signup and view all the answers

Which disease involves bone matrix deposition and reabsorption by osteoblasts and osteoclasts?

<p>Rickets (B)</p> Signup and view all the answers

What is the characteristic of Osteopetrosis?

<p>Bone fractures and hematopoietic defects (A)</p> Signup and view all the answers

Which disease is characterized by abnormal collagen resulting in fragility fractures and scoliosis?

<p>Osteogenesis imperfecta (B)</p> Signup and view all the answers

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Study Notes

Congenital Bone Diseases and Developmental Dysplasia of the Hip

  • Congenital diseases include Dominant X-Linked Hypophosphatemic rickets, Rett syndrome, and Recessive X-Linked Duchenne Muscular Dystrophy.
  • Bone metabolism diseases involve Rickets, Osteomalacia, Osteogenesis imperfecta, and Osteopetrosis.
  • Osteogenesis involves Intramembranous and Endochondral ossification processes.
  • Bone metabolism includes osteoblasts and osteoclasts functions in bone matrix deposition and reabsorption.
  • Rickets is characterized by long bone bowing and ligamentous laxity due to inadequate calcium and phosphate.
  • Osteomalacia results from insufficient mineralization of the osteoid due to Vit D deficiency.
  • Osteogenesis imperfecta is caused by abnormal collagen resulting in fragility fractures and scoliosis.
  • Osteopetrosis involves defective osteoclastic resorption leading to bone fractures and hematopoietic defects.
  • Marfan syndrome is a connective tissue disorder with skeletal abnormalities and cardiovascular and ocular abnormalities.
  • Ehlers-Danlos syndrome presents with joint hypermobility and fragile skin due to collagen forming gene mutations.
  • Hip-related diseases in children include Developmental Dysplasia of the Hip, transient synovitis, Perthes disease, and S.U.F.E.
  • Developmental Dysplasia of the Hip (DDH) is characterized by dysplasia, subluxation, and possible dislocation of the hip, with an incidence of 1-20%.

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