Match each clinical presentation to the most likely pediatric orthopedic diagnosis.
- A 13-year-old boy with a body mass index of 32 presents with an atraumatic limp and left knee pain. Examination shows the left hip is obligately externally rotated when actively flexed.Slipped capital femoral epiphysis (SCFE)
- A 6-year-old boy presents with an insidious onset of a painless limp. Examination shows limited abduction and internal rotation of the hip. Radiographs reveal sclerosis and flattening of the proximal femoral epiphysis.Legg-Calvé-Perthes disease
- A 14-year-old basketball player presents with anterior knee pain worsened by jumping. Examination reveals localized tenderness and a bony prominence directly over the tibial tuberosity.Osgood-Schlatter disease
- A 2-year-old girl refuses to use her right arm after being swung by her hands. The right upper extremity is held closely to her body in a pronated and extended position.Radial head subluxation
- A 5-year-old boy presents with an acute onset limp and hip pain following a recent viral upper respiratory infection. He is afebrile, and his serum inflammatory markers are within normal limits.Transient synovitis of the hip
Cevap
The correct pairings accurately match the clinical vignette of common pediatric musculoskeletal conditions to their respective diagnoses based on age, demographics, and key physical exam findings.
Each vignette represents the archetypal presentation of a pediatric orthopedic pathology. Recognition of defining features—such as obesity and referred knee pain in SCFE, or avascular necrosis changes in Legg-Calvé-Perthes—is required to form the correct matches.
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Anahtar Kavram
Accurate diagnosis of pediatric orthopedic conditions relies heavily on the patient's age, mechanism of injury, associated demographics (e.g., obesity), and characteristic physical examination findings.
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