Pediatric Orthopedic Conditions Quiz
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Questions and Answers

Which factor plays a role in the vulnerability of musculoskeletal development according to the text?

  • Age and gender
  • Physical therapy and exercise
  • Hormones, nutrition, and mechanical forces (correct)
  • Genetics and environment
  • What are the susceptible stages for musculoskeletal development mentioned in the text?

  • Adolescence
  • Infancy
  • Elderly
  • Prenatal (correct)
  • Which type of disorders are included in common paediatric bone & joint disorders as per the text?

  • Neurological disorders
  • Psychological disorders
  • Congenital and hereditary disorders (correct)
  • Endocrine disorders
  • What is the focus of medical care in paediatrics according to the text?

    <p>Infants, children, adolescents, and young adults</p> Signup and view all the answers

    What is mentioned as susceptible to abnormal forces and stresses in paediatric musculoskeletal development?

    <p>Immature MSK system</p> Signup and view all the answers

    Which type of disorders are mentioned under musculoskeletal development in the text?

    <p>Inflammatory and infectious disorders</p> Signup and view all the answers

    What is the recommended Cobb angle for surgical intervention in adolescent idiopathic scoliosis?

    <p>50 degrees</p> Signup and view all the answers

    What is the main aim of surgical intervention for scoliosis?

    <p>To correct 3-D deformities</p> Signup and view all the answers

    What is the recommended Risser's Sign for bracing in adolescent idiopathic scoliosis?

    <p>Risser's Sign ≥ 4</p> Signup and view all the answers

    What is the possible complication associated with bracing in scoliosis treatment?

    <p>Pressure sore</p> Signup and view all the answers

    What is the aim of scoliosis-specific exercises (PSSE) in managing adolescent idiopathic scoliosis?

    <p>To correct 3-D deformities</p> Signup and view all the answers

    What is the main complication associated with surgical intervention for scoliosis?

    <p>Loss of motion at the fused spinal segments</p> Signup and view all the answers

    Which of the following is not a component of musculoskeletal examination in pediatric physiotherapy?

    <p>Visual acuity test</p> Signup and view all the answers

    What is the primary cause of bone growth in length in children?

    <p>Endochondral ossification</p> Signup and view all the answers

    What is the recommended management option for significant leg length discrepancy in pediatric physiotherapy?

    <p>Lifts inside the shoe</p> Signup and view all the answers

    What is the typical age range for the occurrence of Legg–Calvé–Perthes Disease?

    <p>11-15 years old</p> Signup and view all the answers

    Which phase of physiotherapy for leg length discrepancy involves aggressive stretching, strengthening activities, and gait normalization?

    <p>Rehabilitation phase</p> Signup and view all the answers

    What is the primary cause of Legg–Calvé–Perthes Disease?

    <p>Avascular necrosis of the femoral head</p> Signup and view all the answers

    Which test is used to identify an unstable hip that can passively dislocate?

    <p>Barlow's Test</p> Signup and view all the answers

    What is the management strategy for Adolescent Idiopathic Scoliosis (AIS) using bracing treatment?

    <p>Rigid thoracolumbosacral orthosis for up to 23 hours a day until skeletal maturity</p> Signup and view all the answers

    What are the radiographic features of torus fractures?

    <p>Subtle cortex deformity and angulation</p> Signup and view all the answers

    What is the purpose of Moiré topography in assessing scoliosis?

    <p>Providing a 3-D assessment of back shape</p> Signup and view all the answers

    What is the timeframe for bone healing in children for a fractured femur shaft at 20 years old?

    <p>20 weeks</p> Signup and view all the answers

    What is the primary purpose of the Cobb method in scoliosis?

    <p>Measuring lateral deviation</p> Signup and view all the answers

    What is the management goal for Legg-Calve-Perthes disease (LCPD)?

    <p>Relieve pain, prevent deformity, contain femoral head, and restore range of motion</p> Signup and view all the answers

    What is the recommended management approach for torticollis in infants aged 12 months or under?

    <p>Righting exercises and tummy time</p> Signup and view all the answers

    What is the possible cause of torticollis?

    <p>Intrauterine malposition and birth trauma</p> Signup and view all the answers

    What is the incidence of clubfoot (congenital talipes equinovarus) in live births?

    <p>1-3 per 1000 live births</p> Signup and view all the answers

    What is a crucial aspect of Developmental Dysplasia of the Hip (DDH) screening for newborns?

    <p>Identification of risk factors like breech position, female gender, and positive family history of DDH</p> Signup and view all the answers

    What is a clinical presentation of Developmental Dysplasia of the Hip (DDH)?

    <p>Asymmetry of thigh, gluteal or labial folds, limitation of hip abduction range of motion, and positive Trendelenburg sign</p> Signup and view all the answers

    Study Notes

    Pediatric Orthopedic Conditions: Management and Clinical Presentation

    • Management of Legg-Calve-Perthes disease (LCPD) aims to relieve pain, prevent deformity, contain femoral head, and restore range of motion.
    • Pain relief for LCPD includes anti-inflammatory medications and traction, and use of orthotic devices or surgical procedures.
    • Post-operative physiotherapy for LCPD focuses on restoring hip range of motion, muscle flexibility, and strength, especially hip extensors and abductors.
    • Torticollis, meaning "twisted neck," presents with unilateral shortening of sternocleidomastoid muscle and may cause cranial and facial asymmetry.
    • The aetiology of torticollis is unknown, with possible causes including intrauterine malposition and birth trauma.
    • Management of torticollis includes conservative measures, orthotic devices, botulinum toxin injections, and surgical release of the sternocleidomastoid muscle.
    • Righting exercises and tummy time are recommended for the management of torticollis in infants aged 12 months or under.
    • Clubfoot, also known as congenital talipes equinovarus, is a complex deformity with an incidence of 1-3 per 1000 live births and is more common in males.
    • The aetiology of clubfoot includes intrauterine positioning, neuromuscular impairment, genetic and chromosomal abnormalities.
    • Management of clubfoot aims to restore alignment and correct the deformity through physiotherapy, Ponseti treatment method, and long-term brace use.
    • Developmental Dysplasia of the Hip (DDH) screening is crucial for all newborns, with risk factors including breech position, female gender, and positive family history of DDH.
    • Clinical presentation of DDH includes asymmetry of thigh, gluteal or labial folds, limitation of hip abduction range of motion, and positive Trendelenburg sign.

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    Description

    Test your knowledge of pediatric orthopedic conditions with this quiz on the clinical presentation and management of conditions such as Legg-Calve-Perthes disease, torticollis, clubfoot, and developmental dysplasia of the hip. Learn about the causes, treatment options, and recommended interventions for these common pediatric orthopedic conditions.

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