Children's Orthopaedics - DDH, Perthes', SUFE

Question 1

In what age group is DDH and JIA most likely to occur?

Answer 1

0-5 years

Question 2

In what age group is Perthes disease most likely to occur?

Answer 2

5-10 years

Question 3

In what age group is SUFE most likely to occur?

Answer 3

10-15 years

Question 4

What sex is DDH most likely to occur in?

Answer 4

Females

Question 5

Which hip is most commonly affected in DDH?

Answer 5

Left

Question 6

What are the risk factors for DDH?

Answer 6

1st born

Oligohydramnios

Breech presentation

+ve FH

Question 7

What are the clinical signs used to diagnose DDH?

Answer 7

Ortolani’s sign

Barlow’s sign

Question 8

What is the epidemiology of Legg-Calve-Perthes disease?

Answer 8

Males

Primary school age

Short stature

Question 9

What are the symptoms of Perthes disease?

Answer 9

Limp

Knee pain on exercise

Stiff hip

Question 10

What is the treatment of Perthes disease?

Answer 10

Maintain hip motion

Analgesia

Question 11

Is SUFE more common boys or girls? What are the other epidemiological features of SUFE

Answer 11

Boys

Obesity

Teenagers

Question 12

What are the symptoms of SUFE?

Answer 12

Pain in hip or knee

Externally rotated posture & gait

Reduced internal rotation

Question 13

How is SUFE detected?

Answer 13

X-ray

Question 14

What is the characteristic feature of SUFE on x-rays?

Answer 14

Abnormal Kleins line

“Ice cream falling off its cone”

Question 15

How is SUFE treated?

Answer 15

Put a screw in the femoral head

Question 16

What are the differentials of a painless limp that has become painful and has reduced abduction?

Answer 16

Transient synovitis

Perthes

SUFE

DDH

JIA

Question 17

In what direction does the femoral head displace in SUFE?

Answer 17

Posteromedial