Final: Paed's Ortho Flashcards
Developmental Dysplasia of Hip
congenital defect in which there is abnormal formation of the hip joint and the femoral head is not stable in the acetabulum
Ortolani Test
posterior dislocation of the hip
distinctive ‘clunk’
Pavlik harness or von Rosen
splints are commonly used in infants up to the age of six months to spread the legs apart
Used for 23 hours a day
If DDH is diagnosed after age 6 months
abduction brace used
Legg-Calve-Perthe’s
degeneration of the head of the femur from a disturbance in blood flow
The age of diagnosis
2 and 12 years old, with the average age of 6
LCPD Clinical Signs and Symptoms
limp with mild pain in the groin, medial thigh or knee
decreased ROM
Etiology of LCPD
exact unknown
but involves avascular necrosis
Four Pathological Stages
Diminished blood flow and fracturing of the femoral head
Fragmentation and reabsorption of femoral head
New bone growth and reossification
Remodeling and reshaping of a new femoral head
Surgical Treatment
femoral varus osteotomy to reposition the head of the femur into the acetabulum, or a pelvic
Congenital Muscular Torticollis
child’s head is tilted towards the tight sternoceidomastoid muscle and rotated away
Treatment of CMT
stretching 4 to 6 times a day
Plagiocephaly
Refers to asymmetrical head shapes, also known as positional plagiocephaly
Positional Plagiocephaly
flattened side the ipsilateral ear is positioned relatively anteriorly to the
Prevention
tummy time