COXA VARA

Question 1

DEFINE

Answer 1

REDUCED ANGLE BETWEEN SHAFT OF FEMUR AND NECK OF FEMUR ( LESS THAN 120 DEGREE )

Question 2

NORMAL ANGLE

Answer 2

ADULT 125 DEGREE
CHILDREN 160 DEGREE

Question 2

TYPES

Answer 2

1.INFANTILE
2.ACQUIRED
SCFE
SEQUELAE OF AVASCULAR NECROSIS - PERTHES DISEASE,
POST REDUCTION CDH, FEMORAL NECK FRACTURE
BONE DISORDER- RICKETS , OSTEOGENESIS IMPERFECTA

Question 2

CLINICAL FEATURES

Answer 2

PAINLESS LUMP IN CHILD WHO HAS JUST STARTED WALKING
SHORTENING
LIMITATION OF ABDUCTION AND INTERNAL ROTATION

Question 2

X RAY

Answer 2

FAIR BANKS TRIANGLE
INCREASED HILGENREINER EPIPHYSEAL ANGLE < 30 DEGREE
DECREASED NECK SHAFT ANGLE ( VARUS)
VERTICAL EPIPHYSEAL PLATE

Question 3

TREATMENT

Answer 3

TREATMENT OF CONGENITAL CASES -
DEPENDS ON HILGENREINER ANGLE
IF ANGLE BETWEEN 40 DEGREE TO 6O DEGREE = OBSERVATION FOR PROGRESSION
IF ANGLE GREATER THAN 60 DEGREE = VALGUS OSTEOTOMY

TREATMENT OF ACQUIRED CASES -
MANAGEMENT OF CAUSATIVE FACTOR
CORRECTIVE OSTEOTOMY