childhood hip disorders Flashcards
DDH - more common in girls or boys
girls
risk factors for DDH?
breech position
girl
family history
how will child present with DDH at older age?
limp
signs of DDH on examination ?
clicky hip
difference between ortolani and barlow ?
ortolani relocates hip
barlow dislocates hip
how do you diagnose DDH?
US
what is the splint called used in DDH?
pavlik harness
transient synovitis - what age group of patients?
2-5
can the child walk on hip with transient synovitis?
no
what movement do you get resistance to in transient synovitis?
internal rotation
what age group for perthes?
5-10
transient synovitis age?
2-5
what is perthes?
idiopathic juvenile avascular necrosis of the femoral head
you get reduced range of movement in perches. where would you get pain
knee groin thigh buttocks
what would an x ray show in perthes?
can show femoral head collapse
treatment of perthes?
bed rest
recurrent attacks of perthes increase risk of?
necrosis
age for SUFE?
12 (10-16)
treatment of SUFE?
internal fixation by pinning of the femoral head
what is the name of the sign you get in SUFE?
trethowans sign
idiopathic osteochondritis of the femoral head?
perthes
big risk in SUFE?
AVN
how do you treat club foot?
ponseti technique - splintage - gradual correction over 4-6 weeks
