Pediatric Orthopedics Review – 10+ Verified Q&As on SCFE, Nursemaid’s Elbow, JRA – EORE

This expert-verified study guide delivers 10+ high-yield pediatric orthopedic questions and answers, tailored for the Pediatrics EORE (End of Rotation Exam) and relevant board exams in 2025. Structured in a concise Q&A format, this resource focuses on the most frequently tested orthopedic conditions seen in pediatric primary care and emergency settings. Key diagnoses and clinical pearls include: Nursemaid’s Elbow: radial head subluxation caused by pulling the child’s arm; presents with pronated arm; treated with supination and flexion Slipped Capital Femoral Epiphysis (SCFE): common in obese adolescents; presents with insidious hip or knee pain and antalgic limp; treated via pinning in situ surgery Osgood-Schlatter Disease: anterior knee pain at the tibial tuberosity in athletes during growth spurts Scoliosis: spinal curvature, often idiopathic; bracing or surgery for curves >20% Developmental Dysplasia of the Hip (DDH): detected in infants via Ortolani maneuver; managed based on age Legg-Calvé-Perthes Disease: avascular necrosis of the femoral head; dull groin pain relieved by rest Juvenile Rheumatoid Arthritis (JRA): systemic features like fever, rash, and joint pain; treated with NSAIDs and methotrexate Osteosarcoma: aggressive bone tumor in long bones; characterized by sunburst pattern on imaging Osteochondroma: benign bony projection, often asymptomatic unless causing mechanical symptoms Transient Synovitis: presents similarly to Perthes but distinguished by lab markers (elevated ESR) Each topic includes pathology, clinical presentation, causes, and treatment strategies to support both diagnostic understanding and test readiness. Recommended for: Medical, PA, and nursing students in pediatric and orthopedic rotations USMLE Step 2 CK, COMLEX Level 2, NCLEX-RN preparation Shelf exams and OSCEs focused on musculoskeletal complaints in children Keywords: pediatrics, orthopedics, SCFE, slipped capital femoral epiphysis, nursemaid's elbow, radial head subluxation, DDH, developmental dysplasia of the hip, Legg-Calvé-Perthes disease, JRA, juvenile rheumatoid arthritis, osgood-schlatter, scoliosis, osteosarcoma, osteochondroma, transient synovitis, antalgic limp, ortolani maneuver, pediatric EORE