Hip

Question 1

What is the first movement to be lost in hip hip disease?

Answer 1

Internal rotation

Question 2

What are the main causes of hip pain?

Answer 2

OA
Fracure
Trochanteric bursitis
Necrosis
Perthes disease (avascular necrosis of femoral head in 3-11 years)

Question 3

Why should you always examine the hip in a child complaining of knee pain?

Answer 3

Because it could be referred pain from the hip, could be perthes disease or transient synovitis of the hip

Question 4

What is the presentation of transient syndovitis of the hip?

Answer 4

This is a diagnosis of exclusion and presents in 4-10 year olds and is pain at extremes of movement preceded by a viral illness

Question 5

What is perthes disease?

Answer 5

This is avascular necrosis of the femoral head that occurs in 3-11 year olds. No known reason and the healing process distorts the bone and causes pain or a limp
Surgery may be indicated in poor disease

Question 6

What is slipped upper femoral epiphysis?

Answer 6

This happens in 10-16 year lds and there is displacement through the growth plate