problem for which I might order abdominal ultrasound looking for Wilms Tumor
hemihypertrophy
nerve effected first in Charcot Marie Tooth or HMSN 1
peroneal (AT, PB and intrinsics of foot)
most common disorder with FGFR3 defect
Achnodroplasia
order of correction in clubfeet
CAVE
best view for lateral pillar classification of Perthes
AP pelvis
this bone ossifies by age 4
patella
disorder with indications for spine fusion with 25 degree curve
Duchennes muscular dystrophy
Disorder from FBN1 gene defect
Marfans (and some others)
tendon transfered for supinating clubfoot
tibialis anterior
frog-leg lateral (or pelvis to see both)
double patella, bilateral "perthes"
MED
nerve retracted during gastrocnemius recession
medial sural cutaneous
disorder of transport sulfate gene
diastrophic dysplasia
Level of spina bifida in child with Calcaneovalgus
L5
Best positive predictor of Perthes
Age <6yo
This zone is most important to ablate when performing an epiphysiodesis.
Hypertrophic Zone
These body parts need frequent monitoring in the first 4 yrs of life for someone with GMFCS 5 CP
Hips need surveillance
Primary hereditary lymphedema gene (Milroys)
FLT4
type of x-ray for concern for congenital vertical talus
plantarflexion x-ray of foot
age at which femoral anteversion is usual final amount
8-10 yo
Zone effected by Gigantism and Achondroplasia
Proliferative zone
For CP patients, this UE intervention has been shown to improve supination and wrist extension
tendon transfer (FCU to ECRB) usually
ataxia, areflexia of knees/ankles, +plantar response
–Cardiomyopathy, cavovarus feet, nystagmus
Frataxin (FXN) in Friedrichs Ataxia
foot deformity associated with fibular hemimelia
talocalcaneal coalition, valgus foot, lateral column deficiency, ball and socket ankle
primary blood supply to femoral head in 3yo
posterior superior branch of lateral cervical ascending artery