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level: Lecture 18: Joint and Bone Conditions in Kids Part 2

Questions and Answers List

level questions: Lecture 18: Joint and Bone Conditions in Kids Part 2

QuestionAnswer
What is Slipped Capital Femoral Epiphysis (SCFE)?Slipped Capital Femoral Epiphysis (SCFE) is when the head of the femur stays in the hip socket, but the neck of the femur slips or even rotates from its stable/normal position.
In Slipped Capital Femoral Epiphysis (SCFE), 70% of all cases, the patient is considered ________.Obese.
Why is it thought that obesity is able to cause Slipped Capital Femoral Epiphysis?Pathological changes that weaken the bone (they are thought to weaken the area of the growth plate, and the excess weight causes shear force on the area.)
True or false: Any obese adolescent with nontraumatic groin or knee pain should be evaluated carefully for Slipped Capital Femoral Epiphysis.True
What does the neck of the femur look like in STABLE Slipped Capital Femoral Epiphysis? What's the pain like?There is continuity/almost no slippage between the femoral head and neck of the femur. The pain is typically mild; patient is often still willing to stand.
What does the neck of the femur look like in UNSTABLE Slipped Capital Femoral Epiphysis? What's the pain like?The continuity between the CFE and femoral neck is disrupted; there has been significant slipping between the head and the neck of the femur. The pain is so severe that the child is usually unable to stand or bear weight
Can an osteopath do anything for unstable slipped capital femoral epiphysis?No; for unstable, surgery is recommended. To be fair, we can't do much for stable SCFE either, as bed rest (or surgery, sometimes) is the best treatment plan.
What's t he simple term for genu varum deformity?Bow legged
Why do the legs appear bowed in Genu Varum Deformity?It happens when your tibia turns inward instead of aligning with your femur. This causes your knees to turn outward
What is Blount's Disease?It is characterized by abnormal growth of the medial aspect of the proximal tibial epiphysis (growth plate). The area in question, on a healthy patient, can be seen in the image.
True or false: Patients with Blount's Disease are usually healthy in weight, especially in children.False; patients with Blount's Disease usually have marked obesity, regardless of age.
For people older than 4 years old, with moderate to severe symptoms, what can be done to correct the bowed leg(s) in Blount's Disease?Surgery