T6 The Child w/ Musculoskeletal Articular Dysfunction P2

• What is sublaxation?

  Largest percentage of DDH with an incomplete dislocation of the hip.
• Before 6 months what should be given for abduction of the hip on a DDH patient?

  Pavlik harness.
• When is a closed reduction and spica cast indicated for treatment of DDH?


  From ages 6 months to 24 months.
• What should be known about a Pavlik Harness?

  It should not be adjusted unless by a provider, do not use lotions and powders, check 2 - 3 times a day for skin breakdown or irritation.
• How can clubfoot be corrected?

  Serial casting (Ponseti method).
• What is osteogenesis imperfecta?

  Brittle bone disease due to defects in the COL1A1 or COL1A2.
• What is the most common type of OI?

  Type 1 with most fractures occurring before puberty.
• Which type of OI is lethal in infancy?

  Osteogenesis Imperfecta Type II.
• What are treatments for OI?

  Biphosphonate and IV Pamidronate to promote bone density increase.
• What is Legg-Calve-Perthes disease?

  Avascular necrosis of femoral head.
• What is a sign of Legg-Calve-Perthes disease?

  History of limp, pain and limp on arising and end of activity.