Childrens Orthopaedics

Question 1

what is developmental dysplasia of the hip

Answer 1

where the ball and socket do not form properly

Question 2

is it more common in left o right him

Answer 2

left

Question 3

what are the clinical features of developmental dysplasia

Answer 3

ortolans signs-pull legs out
barrows sign-push in and out
piston motion sign

Question 4

what is the treatment for displaced hip

Answer 4

if less than 3 months put a splint
over 6 just leave
over 10 just leave
do selective USS

Question 5

what is perches disease

Answer 5

avasculr necrosis of the hip

Question 6

what are the phases of perthes disease

Answer 6

avascualr necrosis
fragmentation
reossification
residual deformity

Question 7

what is the treatment of perthes disease

Answer 7

maintain hip motion
analgesia
restrict painful activities

Question 8

what is SCFE slipped capital femoral epiphysis

Answer 8

fracture of the growth plate in the femur leading to displacement of the femur head

Question 9

when is it chronic

Answer 9

over 3 weeks of groin pain

externally rotate

Question 10

what is the presenttion

Answer 10

pain in hip or knee

externally roasted posture and gai shown on X ray

Question 11

what is the treatment

Answer 11

stable slips are usually pin in situ