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by what year are most of the 3d allignment changes completed by?
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What stage of gestation do structural deformities occur and what do they include
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PHS321 Lecture 15/15

Paediatric Orthopaedics - Review of devlopment and Assessment in children

QuestionAnswer
by what year are most of the 3d allignment changes completed by? By year 6/7
What stage of gestation do structural deformities occur and what do they include in early gestation includes arthrgyposis and club foot
What stage of gestation do postural deformities occur and what do they include in third trimester of gestation and it includes DDH,MTA,Torticolis due to interuternie px
What stage of gestation do aquired deformities occur and what do they include in early infancy and childhood includes Cerebral palsy
what is normal alignment change for hip and femur hip flex and ER decrease in first 2 years and femur slowly unwinds lateraly (medial fem torsion)
what is normal alignment change for knee and tibia decrease knee flexion contracture, tibia unwinds lateraly faster than femure
what is normal alignment change for ankle and foot hind foor inversion to eversion and decrease in forefoot supination
describe normal age changes with the knee infanct = genuvarum (horse riding), 18 months inline, 3.5 years genu varum (knocked knees) 7 years aligned.
how is tibial torsion measured and describe the measeurment bimalleolar angle and thigh foot angle. Procedure includes take heights of ankle in supine, take width of malleolar then draw horizontal line form shortest and line from both heights and measure angle
how is femoral anteversion measured what are normal values FNA where pt is supine and lateral trochlear of femure is palpated while moving knee in 90 degrees to IR. neonate = 30 adult 16
what are normal values for thigh foot angle neonate = 0-20IRadult= 30 ER
in children with genuvarum what is a typical measure 4 finger width distance
what is the management of genu varum and valugs 1. inform of normals 2. refer if 7.5 diff btw malleoli or knees, varum after 3, assymetry or shortening.
what are general guidlines to rotaiton medial rotaion will improve with growth, lateral roation will increase with growth
Created by: rranja03
 

 



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