null
US
Entrar
Registre-se gratuitamente
Registre-se
Detectamos que o JavaScript não está habilitado no teu navegador. Habilite o Javascript para o funcionamento correto do nosso site. Por favor, leia os
Termos e Condições
para mais informações.
Próximo
Copiar e Editar
Você deve estar logado para concluir esta ação!
Inscreva-se gratuitamente
519706
Variations of normal posture
Descrição
Paediatrics (MSK) Mapa Mental sobre Variations of normal posture, criado por v.djabatey em 01-02-2014.
Sem etiquetas
msk
paediatrics
paediatrics
msk
Mapa Mental por
v.djabatey
, atualizado more than 1 year ago
Mais
Menos
Criado por
v.djabatey
quase 11 anos atrás
48
0
0
Resumo de Recurso
Variations of normal posture
most resolve w/o Rx
but if severe, progressive, painful or asymmetrical, refer
bow legs (genu varum)
many kids evolve leg alignment w/ initial degree of tibiae bowing-> knees being wide apart
best seen when child is standing w/ feet together
diamond shape
pathological differentials w/ bow legs
rickets osteogenesis imperfecta
Blount disease
severe progressive & unilat bow legs
uncommon
seen mostly in Afro-Caribbean kids
characteristic x-ray
beaking of prox medial tibial epiphysis
normal age range
1-3 years
normal toddler has broad base gait
knock-knees (genu valgum)
feet are wide apart when standing w/ knees held together
common
usually resolves spontaneously
normal age range
2-7 years
pathological differentials
juvenile idiopathic arthritis (JIA)
flat feet (pes planus)
toddlers learning to walk usually have flat feet
cos of flatness of medial longitudinal arch & fat pad which disappears w/ age
how to demo an arch
stand on tiptoe
passively extend big toe
pathological differentials
hypermobility
marked flat feet common
congenital tarsal fusion
fixed flat foot, often painful in older kids
may suggest a congenital tarsal condition
refer to orthopaeds
Mx of symptomatic flat feet
footwear advice
arch
normal age range
1-2 years
toe walking
normal age range
1-3 years
pathological differentials
spastic diplegia (of CP)
muscular dystrophy
Duchenne's
JIA
foot
ankle
common in young kids
may become persistent from habit
can walk normally on request
in-toeing
causes
metatarsus varus
adduction deformity of a highly mobile forefoot
big toes point towards each other
occurs in infants
passively correctable
heel held in normal position
no Rx needed unless persisting > 5 years old & symptomatic
medial tibial torsion
at lower leg, when tibia less laterally rotated than normal in relation to femur
knees brought closer together (but not touching) w/ calf and ankles internally rotated
occurs in toddlers
may be assoc w/ bowing of tibiae
self corrects within about 5 years
persistent anteversion of femoral neck
at hip, when femoral neck is twisted more forward than normal
kids sit btw their feet w/ hips fully internally rotated (W sitting)
presents in childhood
usually self-corrects by 8 years old
most don't need Rx
but femoral osteotomy for persistent anteversion
normal age range
1-2 years
out-toeing
uncommon
normal age range
6-12 months
cause
lateral rotation of hips
bilat out-toeing
resolves spontaneously
Quer criar seus próprios
Mapas Mentais
gratuitos
com a GoConqr?
Saiba mais
.
Semelhante
the painful limb, knee & back
v.djabatey
Limp- causes
v.djabatey
genetic skeletal condition
v.djabatey
Abnormal posture
v.djabatey
Limp
v.djabatey
clinical features of transient synovitis & septic arthritis of hip
v.djabatey
Arthritis
v.djabatey
Arthritis 2
v.djabatey
Child development
as0180.2010
infective endocarditis
v.djabatey
Bronchiolitis
v.djabatey
Explore a Biblioteca