childhood hip disorders Flashcards

1
Q

DDH - more common in girls or boys

A

girls

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2
Q

risk factors for DDH?

A

breech position
girl
family history

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3
Q

how will child present with DDH at older age?

A

limp

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4
Q

signs of DDH on examination ?

A

clicky hip

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5
Q

difference between ortolani and barlow ?

A

ortolani relocates hip

barlow dislocates hip

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6
Q

how do you diagnose DDH?

A

US

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7
Q

what is the splint called used in DDH?

A

pavlik harness

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8
Q

transient synovitis - what age group of patients?

A

2-5

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9
Q

can the child walk on hip with transient synovitis?

A

no

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10
Q

what movement do you get resistance to in transient synovitis?

A

internal rotation

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11
Q

what age group for perthes?

A

5-10

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12
Q

transient synovitis age?

A

2-5

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13
Q

what is perthes?

A

idiopathic juvenile avascular necrosis of the femoral head

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14
Q

you get reduced range of movement in perches. where would you get pain

A

knee groin thigh buttocks

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15
Q

what would an x ray show in perthes?

A

can show femoral head collapse

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16
Q

treatment of perthes?

A

bed rest

17
Q

recurrent attacks of perthes increase risk of?

A

necrosis

18
Q

age for SUFE?

A

12 (10-16)

19
Q

treatment of SUFE?

A

internal fixation by pinning of the femoral head

20
Q

what is the name of the sign you get in SUFE?

A

trethowans sign

21
Q

idiopathic osteochondritis of the femoral head?

A

perthes

22
Q

big risk in SUFE?

A

AVN

23
Q

how do you treat club foot?

A

ponseti technique - splintage - gradual correction over 4-6 weeks