harris final Word Scramble
|
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Question | Answer |
Intoeing gait is caused from | metatarsus adductus (foot deformity) internal tibila torsion ( rotational deformity) excessive femoral anteversion ( rot deformity) |
roational profile for exam of intoeing gait | foot progression angle evaluation of foot prone hip rot thigh foot rot (angle) |
morphologci features of MTA | adducted forefoot concave med foot border convex lat foot border |
MTA coption orrectable tx | stretching reverse last shoes/straight last shoes education |
MTA not correctable passively tx option | stetching casting reverse last shoes surgical release |
MTA Surgical options | release adductor hallucis mdial release tarsometrsal capsulotomies multiple metatsal osteomies lateral closing cuboid osteomis opeing cuneform osteotomy |
Internal Tibial Tosion tx | NONE rotational tibial osteotomy if >10yrs old medial thigh foot angle >10 degrees |
Excessive femoral anteversion | medial foot progression angle medial hip rot > 70 degrees most resolve by ten yrs of age |
tx for excessive femoral anteversion | none rotational femoral osteotomy .>10 yrs 80 degrees of prone medial hip rotation |
genu varum | physilogic bow legs Blount's Disease |
Genu Valgum | knock knees |
nomal knee alignment at birth | 10-15 degrees varus |
normal knee alginment at 18 months | neutral |
30-36 months | genu valgum (outgrow in another 18 months part of normal growth |
Physiologic bowlegs (varum) | bilateral genu varum in child greater than 2 associated ITT natural hx (spontaneous resolution) |
tx for physiolocal bow leg | none |
Tibial vara (BLOUNTs disease | proressive varus and ITT defomity of the proximal tibia |
etiology of Blount's disease | pathologic compression on the proximal medial tibial results in abnormal growth and development of proximal medial epiphis and pramture physeal closure |
who get blount's disease | fmale>males overwight children early walkers african americans |
Knocked knees | genu valgum |
types of knock knees | physiologic metabolic skeltal dyplasia post traumatic (Cozens adolescence |
physicologic gen valgum | normal development 3-5 ys old child |
metabolic knocked knees | x-linked hypophosphatemia renal osteodystophy |
genu valgu post traumatic (cozen) | s/p proximal tibial metphsis overgorwoth with valgus deformity increasing leg length excellent remoldeling potential |
genu valgum adolescence | 10-11 yr old females 12-13 males knee pain (medial) large stature |
genu valgum tx | hemiephysiodesis guided growth stapling and 8-plating |
common foot deformities | calcaneovalgus talipes equinovarus pes planus toe walking |
calcaneovalgus | present at birth characterized by forefoot valgus and heel df allowing the dorsal suface to touch the anterior tibia |
etiology fo calcaniovalgus | inuterine molding |
tx for calcaneovalgus | observation passive stretching seral casting (rarely) rule out tibial bowing |
talipes equinovarus | clubfoot: present at birth forefoot adduction and supinated heel pf |
etilogy for clubfoot | multifactoral interuterine |
morphologic features | dimples oever talus forefoot adduction heel vaur ankle equinus shorter extremitiy smaller calf short smaller foot |
clinical feature of club foot | cave principle cavus adductus varus equinus |
tx for club foot | treatable but no correctable nonsurgical-->ponseti method (manipulation serial casting 3 months holding splints ) |
treatment results of clubfoot | abnomal foot decreased size calf atrophy decreased motion pes planus MTA flat top of talus dorsal cubluxation of forefoot |
treatment for pes plantus | none |
toe walking causes | idiopathic cp myelodysplaia muscular dystrophy |
toe walking | bilateral always contracture develops limits df |
idopathic toe walking clincal feature | cariable toe walking altered choe wear decreased df normal neuro exam |
ideopathic toe walking rx | non operative ( stretching casting bracing and botox reoccurence common) operative achilles tendon lengthening decreased strength reoccurance rare |
common hip conditons | transient synovitis and septic arthritis developmetnal dysplasia legg clave perthes slipped capital femoral epiphysis |
transient synovitis and septic arthritis | pain decreased ROM refusal to bear weight |
transient synovitis | age 3-8 no/low fever no systemic illness inflammatory |
septic arthritis | ant greater then 2 fever system ilness infectious |
tx for transent synovitis | NSAID |
septic arthrits tx | I & D (incision and drainage) sensitive antibiotic |
Developmental hip dysplasia | wasterbasket term encompassing all forms of hip instability including subluxation and dilocation |
developemental hip dysplasia incidence | incidence; 1-6 in 100 births 40-60 in left hip 20 bilateral famales> males |
developmentall hip dysplasia risk factors | first born female positive familiy hx breech presentatino musculoskeletal abnomality |
etilogy of developmetn hip dysplasia | multifactorial (genetic disorder, hormonal factors and mechanical factors |
dx fo hip dysplasia | physical is more important thanradological exam dynamic us |
DHD physical exam | ortolani barlow galeazzi |
ortonlani | reduces a dislocated hip |
barlow | dilocated hip |
galeazzi | leg length shot leg is dislocated |
tx for hip dysplasia birth to 6 months | birth to 6 months pavik harness |
DHD tx 6-18 months | limited abduction galeazzi test telescoping true shortenign gait abnomalities |
complication with DHD | avascualr necrosis with Leg length discrepancy coxa brevis coxa valga DJD |
legg clve perthes disease | condition of the immature hip caused by necrosis of al or part of the femoral head which subsequently deforms as necrotic bone is replaced by living bone |
stage of leff calve perthes | necrosis 5-7 months fragmetnation 7-months reossification 20-38 months remolding ( until maturity |
clinical feature of legg perthes | painful limp groin pain anteriomedial thigh and knee waddling gait atrophic extremtiy decreased ROM ( mid flexion contracture) limited internal rotation and abduction |
tx for Legg calve perthes | mainatin ROM head contaitnment (abd orthosis or maybe femoral pelvic osteotomy |
exercises for legg calve perthes | butterfly knee to chest standing straddle hip extension prone |
prognosis for legg calve perthes | femoral head deformity jt incongruity impingement 86 percent have symptom of DJD before the age of 65 |
slipped capital femoral epiphysis (SCFE) | posterior and medial displacement of the |
Created by:
klkoester
Popular Physical Therapy sets