Children's Orthopaedics DDH, Perthes, SUFE Flashcards
1
Q
DDH
A
Developmental dysplasia of the hip
2
Q
Increased incidence of DDH in
A
First born Oligohydramnios Breech presentation Family history Other lower limb deformities
3
Q
What is DDH
A
Ball and socket does not properly form in babies and young children, commonly dislocates
4
Q
Treatment of DDH
A
Pavlik harness to keep hips in a stable position and allow them to develop normally
5
Q
How does Perthes disease present?
A
Primary school age Short statue Limp Knee pain on exercise Stiff hip joint Systemically well
6
Q
Phases of Perthes disease
A
Avascular necrosis
Fragmentation - revascularisation (pain)
Reossification - bony healing
Residual deformity
7
Q
SCFE
A
Slipped capital femoral epiphysis (also called SUFE)
8
Q
Presentation of SUFE
A
Pain in hip or knee
Externally rotated posture and gait
Reduced internal rotation, especially in flexion
