Childhood Hip Disorders Flashcards
1
Q
DDH
A
Developmental dysplasia of the hip
2
Q
Risk factors for DDH
A
Breach position in utero or at birth
Girls, first born, left hip
Family History x10
Other musculoskeletal abnormalities (e.g club foot, torticollis
3
Q
Examination in DDH
A
- Look for asymmetry
- Feel for clink/clunk
- Move - check abduction!
4
Q
Instability tests
A
Barlow and Ortolani
5
Q
Barlow Test
A
Attempt at subluxation/dislocation of by flexion adduction
6
Q
Ortolani
A
Attempt to relocate a dislocated hip by abduction
7
Q
Most common cause of hip pain in 4-10 years?
A
Transient Synovitis
8
Q
Symptoms of late presenting CDH?
A
Painless limp Short Leg Trendelenberg test Asymmetric creases X-Ray especially at this age!
9
Q
What is perthes? and who does it affect?
A
Idiopathic avascular necrosis -develops over a couple of weeks Boys Ages 4-8 Bilateral 10%
10
Q
What is transient synovitis?
A
Most common cause of hip pain in 4-10 year olds, twice as common in boys
May follow an upper respiratory tract infection
Self limiting (two weeks)
-develops acutely
- usually no pain at rest
- ESR may be slightly raised
