MCN 374 Exam III (A+ GRADED)

Orthopedic disorders can be correct answers Congenital Acquired/trauma Infectious Club Foot correct answers 1-2 per 1000 live births *Males more affected* Involves both the bony structures and soft tissues Club Food: Causes correct answers Intrauterine positioning Neuromuscular or vascular problem Genetics Club Foot: Interventions correct answers Manipulation and serial casting immediately The more rigid the higher likelihood surgery will be necessary Surgery is performed between 3-12m Developmental Dysplasia of the Hip (DDH) correct answers Encompasses a variety of hip abnormalities: Acetabular dysplasia - abnormal development leading to instability Subluxation - incomplete dislocation Dislocations - femoral head has no contact with the acetabulum DDH: Predisposing Factors correct answers 5 F's: Female Family hx in 20% of cases Frank breech birth First born Left hip involvement (3x more often than the right) DDH: Clinical Manifestations: Infant correct answers Shortened limb on affected side Restricted abduction of hip on affected side Unequal gluteal folds when infant is prone Positive Ortolani test Positive Barlow test Many resolve by 2m of age DDH: Clinical Manifestations: Older Infant and Child correct answers Affected leg shorter than the other Positive Trandelenburg sign (while bearing weight on the affected side the pelvis tilts downward) Limp May walk on toes on one side Marked lordosis and waddling gait if bilateral dislocations