Term
When should it disappear/show up and what does it mean:
HAND GRASP |
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Definition
gone by 2-4 months
CP or brain injury |
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Term
When should it disappear/show up and what does it mean:
PLANTAR GRASP |
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Definition
gone by 1 year
Brain injury |
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Term
When should it disappear/show up and what does it mean:
MORO REFLEX |
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Definition
Gone by 6 months
CP; Hypotonicity; Amyotonia Congenita |
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Term
When should it disappear/show up and what does it mean:
STEPPING REFLEX |
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Definition
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Term
When should it disappear/show up and what does it mean:
PLACING REACTION |
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Definition
Birth to 12 months
Absence means brain damage |
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Term
When should it disappear/show up and what does it mean:
CROSSED EXTENSION |
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Definition
Gone by 1 month
Absence means spinal lesion |
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Term
When should it disappear/show up and what does it mean:
ASSYMETRIC TONIC NECK/FENCERS |
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Definition
Gone by 4-6 months
CP- contributes to scoliosis |
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Term
When should it disappear/show up and what does it mean:
PARACHUTE |
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Definition
Shows up at 6 months, stays through adulthood
If absent, severe brain damage |
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Term
When should it disappear/show up and what does it mean:
SUPERFICIAL ABDOMENAL |
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Definition
We all have it
ASSYMMETRY MEANS PATHOLOGY-
-lower motor neuron lesions, spinal cord tumors |
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Term
What should happen to a baby by:
3 months |
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Definition
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Term
What should happen to a baby by:
6 months |
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Definition
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Term
What should happen to a baby by:
9 months |
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Definition
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Term
What should happen to a baby by:
10 months |
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Definition
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Term
What should happen to a baby by:
10-14 months |
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Definition
| Walking- if not by 24 months, significant developmental delay |
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Term
| When does the ossification of the femoral head occur? |
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Definition
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Term
| Scoliosis in the coronal plane must have an angle greater than? |
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Definition
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|
Term
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Definition
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Term
| The typical curve for scoliosis has apexes where? |
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Definition
Thoracic- Right
Lumbar- Left |
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Term
| Curves greater than 100 degrees are risky for what? |
|
Definition
| Cor pulmonale, loss of pulmonary function |
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Term
| What types of curves contribute to loss of pulmonary function? |
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Definition
Greater than 100 degrees OR
Lesser curves with serious hypokyphosis (flat back) |
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Term
| What defines INFANTILE scoliosis? |
|
Definition
Birth to 3 y/o
Use Mehta Rib Vertebral Angle Difference |
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Term
For the Mehta Rib vertebral angle difference, which rib is more acute?
What indicates an 80% or greater chance of progression? |
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Definition
The rib on the CONVEX side of the apex
More than 20 degree difference in angle |
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Term
| What defines JUVENILE scoliosis? |
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Definition
4- 10 y/o- HIGH RISK FOR NEUROAXIS PROBS
-GET AN MRI AND CLEAR FOR NEURO
-rib angle difference greater than 10 degrees indicates progression |
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Term
| What defines ADOLESCENT scoliosis? |
|
Definition
Arises spontaneously at puberty
Progression happens with LESSER MATURITY and GREATER CURVE |
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Term
| At maturity, a curve under what amount of degrees is unlikely to progress? |
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Definition
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Term
| What defines an atypical curve? |
|
Definition
Thoracic apex on the LEFT
Lumbar apex on the RIGHT
Long C-shaped Curve (DANGER)
Short and sharp apex |
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Term
| What is diastemotomyelia? |
|
Definition
| Bone or fiber splits cord but it reunites distally |
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Term
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Definition
| Bone or fiber splits cord and it stays in 2 pieces |
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Term
| If the spine is messed up congenitally (interpedicular distances widened), what do we ALWAYS check? |
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Definition
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|
Term
| 3 lower motor neuron contributors to neuromuscular scoliosis: |
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Definition
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|
Term
|
Definition
Filum terminale thickens, gets stuck at the bottom, pulls traction
LIPOMA |
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Term
|
Definition
Cyst or cavity within the cord-
Caused by increased intracranial pressure
Brain bits can herniate through the foramen magnum |
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Term
| What are the symptoms of hydrosyrinx? |
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Definition
| Spasticity, cavovarus feet, scoliosis that can be fixed by fixing the syrinx |
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Term
| What is our most favorite PHYSICAL EXAM signal that there might be some screwed up brain or spinal cord issues? |
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Definition
| CAVOVARUS FEET- SHE SAID IT 800 TIMES |
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Term
| What can cause myopathic neuromuscular scoliosis? |
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Definition
| Muscular Dystrophies, arthrogryposis |
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Term
| What does the curve look like in cerebral palsy? |
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Definition
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Term
| What does the curve look like in polio? |
|
Definition
Ribs touching the ileum- very painful
Spine is super flexible |
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Term
| What is the prognosis for a unilateral unsegmented bar? |
|
Definition
| 50 degrees by 10 years at 5 degrees per year |
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Term
| What is the prognosis for a unilateral bar with contralateral hemivertebrae? |
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Definition
| 50 degrees by 4 years at 6 degrees per year |
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Term
| What is the prognosis for two ipsolateral hemivertebrae? |
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Definition
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|
Term
| What is the prognosis for non-segmented hemivertebrae? |
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Definition
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|
Term
|
Definition
On crest of the ileum:
1-2 still progressing
3-4 near maturity
5- mature bone |
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Term
| Criteria to brace for idiopathic scoliosis: |
|
Definition
Risser 2 or less AND:
-cobb angle greater than 25 degrees
or
-cobb angle greater than 20 degrees with documented 5 degrees of progression |
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Term
| What gets eroded in post-infectious torticollis? |
|
Definition
| Transverse atlantal ligament (after peritonsillar abscess) |
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Term
| What is the Sprengel Deformity? |
|
Definition
Scapula's at different heights
Associated with Klipple Feil |
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Term
| How do we diagnose Scheurmann and what is it? |
|
Definition
Extreme Thoracic Kyphosis
Diagnosis must have:
Cobb angle above 45 degrees on lateral
Wedging of 5 consecutive vertebrae
Schmorls Nodes |
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