DDH, SUFE, Perthe's Flashcards
1
Q
age specific hip problems: 0-5
A
normal varient trauma transient synovitis osteomyelitis septic arthritis DDH JIA
2
Q
age specific hip problems: 5-10
A
trauma transient synovitis osteomyelitis septic arthritis Legg-Calve Perthe's disease
3
Q
age specific hip problems: 10-15
A
trauma osteomyelitis septic arthritis SUFE chondromalacia neoplasma
4
Q
DDH: incidence
A
2.4/1000
5
Q
DDH: M:F
A
1:6
6
Q
DDH: increased incidence in
A
first born oligohydramnios breech family Hx other LL deformities
7
Q
DDH: clinical features
A
ortolani’s sign
barlow’s sign
piston motion sign
8
Q
Legg-Calve-Perthe’s disease: M:F
A
5:1
9
Q
Legg-Calve-Perthe’s disease: age
A
primary school
10
Q
Legg-Calve-Perthe’s disease: what % are bilateral
A
15
11
Q
Legg-Calve-Perthe’s disease: features
A
short limp knee pai on exercise stiff hip joint systemically well
12
Q
Legg-Calve-Perthe’s disease: phases
A
avascular necrosis
fragmentation - revascularisation (pain)
reossificaiton
residual deformity
13
Q
Legg-Calve-Perthe’s disease: differential unilateral
A
septic hip
JIA
SUFE
lymphoma
14
Q
Legg-Calve-Perthe’s disease: bilateral
A
hypothyroid
sickle cell disease
epiphyseal dysplasia
15
Q
Legg-Calve-Perthe’s disease: treatment
A
o Maintain hip motion o Analgesia o Restrict painful activities o “supervised neglect” in most cases o “containment” consider osteotomy in selected groups of older children (>7) o Prognosis good is onset <9
