-
most common spinal deformity in children involves lateral curvature gretaer than 20 degrees. occurs for frequent in prepubescent girls, not caused by any other disease or deformity
scoliosis
-
manifestation fo scoliosis
- curve spin
- rib hump when bending
- uneven shoulder/pelvic height
-
med mgt for scoliosis
stop curvature early throgh electtrical stimulation, bracing, exercise
-
surgical mgt for scoliosis
surgery for freater thsn 40 degree curvature
-
necrosis of the head of the femur, cause is unknown most common in caucasians manifestation is hip/knee soreness, quad atrophy, painful limp
legg-calve- perthes disease
-
med mgt for legg-calve- perthes disease
- dx through xray
- maintain shape of femoral head
- reduce stiffness
-
tx of choice for legg-calve- perthes disease
surgery
-
nurse mgt for legg-calve- perthes disease
maintain mobility
-
x-linked recessive herediatary, progressive, degenerative disorder of musclesoccurs among males, carried by females includes delayed motor developmetndifficult standing, muscle weaknessfrequent falling
duchenne muscular dystophy
-
walking the hands up the legs to move from sitting to standing postion associated with duchenes
Gowers sign
-
ducehnne muscular dystophy usually dont live beyind ___
20
-
Cx of DMD
- obesity
- resp infection
- cardiac failure
- contractures
-
Dx of DMD
- muscle biopsy
- electromyography
- serum enzyme assay
-
med mgt for DMD
- maintain ambulation/independence
- maximize sitting capability
- self care
- resp. function
- genetic counseling
-
systemic multisystem disorder that effecst bodys connective tissue also known as autoimmune inflammatory disease
juvenile arthitis
-
JA manifestation
joint swelling, pain, tenderness lasting more than 6 weeks
-
Cx of JA
*prognosis good with early detection
-
med mgt for JA
- mobility
- joint preservation
- drugs
- Physical therapy
- surgery
-
pharm mgt for JA
- asprin
- NSAIDS (motrin)
- corticosteroids
- naproxin
- cytotoxic drugs if severe
-
fractures in children compared to adults
less complicated adn heal quickly
-
most commonly fractured bones in kids
- clavicle
- tibia
- femur
- humerus
- wrist
- fingers
-
fractures in ____ cna cause permanent damage
epiphyseal plate (growth plate)
-
type of fractures common bc of imcoplete ossification
greenstick fracture
-
old fractures can indicate evidence of _____
- possible child abuse
- osteogenesis imperfecta (brittle bone)
-
fracture TX
- realignement
- immobilization
- casting
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