Module 7, General Medical Level
This 1 year and 3 month old female was the product of a normal vaginal
delivery at 38 weeks gestation without complications. She was one of twins,
and her sister was healthy, without deformity. Soon after birth the infant
was noted to have a severe deformity involving the right leg and right
foot. Examination of the right lower extremity demonstrates shortening
of the right thigh with a 10 degree flexion contracture present in the
knee. The knee is noted to be in valgus. The foot is held in a position
of severe equinovalgus with absence of the lateral two rays.
Question 7A
These
congenital deformities are likely related to deformities in other organ
systems of the body.
Question 7B
These
deformities are likely to prevent the child from walking.
Question 7C
Amputation
of the foot and fitting with a prosthesis is one treatment option.
Question 7D
This
leg will maintain it's current proportional length to the other limb through
growth.
Question 7E
As
the child grows the bowing of the femur will correct.
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