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Buckle Fractures
Etiology and Mechanism of Injury Epidemiology Clinical Presentation and Physical Examination Evaluation and Diagnosis Management Strategies Differential Diagnosis Sure, here’s a detailed table covering various types of fractures, their definitions, symptoms/signs, and potential complications: Fracture Type Definition Symptoms/Signs Complications Buckle (Torus) Fracture Incomplete fracture where one side of the bone…
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Osgood-Schlatter disorder
Clinical history Symptoms Physical exam Investigations GP management Indications for specialist referral
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Bowed legs – genu varum
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Out-toeing
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Toe walking
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Intoeing
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Knocked knees – genu valgum
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Flat feet
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Osteochondritis dissecans
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Pulled elbow
NB: do not normally need XR if there is reliable history of traction of elbow, clinical examination suggestive of pulled elbow & child is < 5yrs age XR if there is atypical history or examination Reduction manoeuvres Either of the following methods may be effective Hyperpronation manoeuvre Sit the child…
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Joint pains/ swellings – kids
DDx
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limp (kids)
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Developmental dysplasia of hip
– How to Treat article “ A GP guide to paediatric orthopaedics” Dec 2019, SCHP notes = spectrum of conditions where the femoral head has abnormal relationship to acetabulum 🡪 unstable hip Diagnosis Clinical examination Other: Neuro (movement of all limbs, spasticity, ROM, foot abnormality) Risk factors: Other: underlying NM…
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Slipped capital femoral epiphysis (SCFE aka SUFE)
– = physeal disruption & slippage of femoral neck in relation to the femoral head, which remains enlocated in acetabulum Aetiology Symptoms Signs Investigation Management Complications
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Perthes disease
How to Treat article “ A GP guide to paediatric orthopaedics” Dec 2019; Orthobullets; RCH ortho fact sheet = idiopathic avascular necrosis of epiphysis of the femoral head Epidemiology 4 Stages of disease Stage Appearance 1. Sclerosis Femoral head appears dense & smallerMedial joint space widening 2. Fragmentation Subchondral lucencyMottled…
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Toddler fracture
A toddler fracture is a minimally displaced or undisplaced spiral fracture, usually of the tibia, typically encountered in toddlers. It is a potentially difficult diagnosis to establish on account of both the symptoms and imaging findings being subtle The term has sometimes also been used to describe occult fractures of…