Displasia de cadera Flashcards

1
Q

Factores de riesgo para displasia de cadera

A
Primer hijo
Hiperlaxitud
oligohidramnios
niña
presentacion podalica
Down
Torticolis congenita
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2
Q

Cadera mas afectada

A

Izquierda

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3
Q

Separacion de cadera neonatal normal

A

Se separa a 90º

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4
Q

Ortalani

A

Abduccion progresiva

Casos graves: ortalani no reduce cadera

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5
Q

Barlow

A

Cadera con separacion completa

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6
Q

Diagnostico clinico

A

Ortalani +
Barlow+
Limitacion de abduccion

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7
Q

Prueba de eleccion

A

Eco

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8
Q

Radiografia

A

bebe de 3 meses

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9
Q

Artrosis secundaria sintomatica

A

Subluxacion

Displasia

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10
Q

Linea de Hilgenreiner

A

Union de cartilagos fisiarios tirradiados

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11
Q

Linea de Perkins

A

Vertical tangente de reborde acetabular superolateral

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12
Q

Linea de Shenton

A

Cervicoonturatriz

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13
Q

Parametro mas util para evolucion

A

angulo acetabular

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14
Q

Indice acetabular

A

normal: 20 a 25º a los 3 meses y 18 a 21º a los dos años
Displasicas: >28º a los 3 meses y >24º a los dos años
Reduccion al años >10º buen pronostico

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15
Q

Cuadrantes de putti

A

cadera sana: inferior externo

Cadera displasica: superior externo

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16
Q

Tratamiento

A

Arnes de pavlik