random obscure ass conditions, pathologies and deformities

tendon pulled off the bone (fall off the bone yum)
common in adolescents

treat like regular muscle pull

fracture through growth plate of femoral head
trauma or idiopathic
common in young teens (10-15 year old)
more male than female

hip, thigh or knee pain
decr hip IR
need xray!!!!!!!!!!!!

treat like hip f/x post-op

common in babies :/
dislocation usually noted by 3 months
more females than males

tx:
double diapers
pavlik harness
cast or bracing

osteonecrosis of femoral head
common in kiddies (4-8 year olds)
more males than females
not usually bilateral

exam:
groin, lateral thigh, knee pain
limp
trendelenburg

tx:
protected WB + therex
surgery

inflammation at the patellar tendon
overuse inury
ADOLSESCENTS

fracture
stress fracture
sesamoiditis -- 1st MTP super common! super specific pain!

WB hurts :(

tx = shoe modification or orthotics to give more space for bone

degenerative joint disorder of 1st MTP
decreased mobility and pain
can be a complication of a 1st MTP sprain

excess valgus at MTP joints (toe turned in)
hammer toes = valgus at PIP
mallet toes = valgus at DIP

can be a complication of a 1st MTP sprain

varus at talocrural joint
COMMON IN NEWBORNS
50% BL
more males than females

tx:
casting/stretching
ROM
family education

varus at metatarsal joints
MOST COMMON NEWBORN DEFORMITY
50% BL
often assoicated with DDH

tx:
casting
stretching

osteonecrosis of navicular
common in childhood

inflammation of calcaneus (calcaneal apophysitis)
common in pre/adoloescents

osteonecrosis of MT head
common in pre/adolescents

metatarsalgia
bone stress injury/metatarsal overload
MTP sprain
flexor tendon/contractile injury
1st MTP sesamoid pain
Morton's neuroma

compression of interdigital nerves in forefoot
usually btwn metatarsals 3 and 4

tx:
barefoot or wide toe box