Childhood Hip Disorders

Question 1

What are some of the risk factors for DDH in a baby

Answer 1

Breech position in utero or at delivery x10
family history x10
Girls
Left hip

Question 2

What do you look for in DDH

Answer 2

Asymmetrey
Feel for a click / clunk
Move - check abduction

Question 3

Describe a Barlow Test

Answer 3

When the examiner attempts to dislocate / sublux§ the hip that in is joint by flexions addd

Question 4

Describe the Ortolani test

Answer 4

Attempt to relocate a dislocated hip by abdu

Question 5

At what age do XRays start to become useful

Answer 5

After 3 months

Growth plate is not calcified

Question 6

What imaging technique is good for babies under 3 months

Answer 6

US

Question 7

What are the 3 main treatment principles

Answer 7

Relocate the hip
Splint it while it stabilises
Monitor acetabular development

Question 8

DDH is easily fixable. True or false

Answer 8

True - if spotted early

Question 9

What type of harness is successful if there is an early diagnosis

Answer 9

Pavlik harness

Question 10

What can be done for a child with a late presentation

Answer 10

open reduction

Question 11

What age does Perthes present

Answer 11

4-8 years old

Question 12

What sex is more likely to have Perthes

Answer 12

Boys

Question 13

What does Perthes usually present with

Answer 13

Limp

Pain

Question 14

What is the aim of treatment for Perthes

Answer 14

Influence the shape of the recovering head
Containment within the mould of the acetabulum
Maintain hip abduction (rest and activity modification, bracing, surgery)

Question 15

What does the outcome of Perthes depend on

Answer 15

The shape of the head at the end

Question 16

What is the typical age presentation for SUFE

Answer 16

10-16 years

Question 17

What groups of people are more likely to have a SUFE

Answer 17

Males
Blacks
Obese

Question 18

What do patients usually present with when they have a SUFE

Answer 18

Knee pain