Hip Conditions Flashcards
AVN of the femoral head
Legg Calve Perthe’s
Legg Calve Perthe’s demographic
boys age 4-9, obese
Legg Calve Perthe’s increase or decrease joint space
decrease
Radiographic signs of Legg Calve Perthe’s
- Fragmentation of femoral head (crescent sign)
- Flattening of femoral head
- Increased white density of the femoral head (snow capped appearance)
Muschroom cap appearance
Healed Legg Calve Perthe’s
Legg Calve Perthe’s management or referral
Orthopedist for an “A” brace
Slipped capital femoral epihysis demographics
boys 10-16
Slipped capital femoral epihysis associated with Salter Harris Type..
Type I
transverse fracture through physis
Femoral head slides inferior and medial
Femoral neck slides superior and lateral
Slipped capital femoral epihysis
Lines for Slipped capital femoral epihysis
Klein’s
Shenton’s
Skinner’s
Slipped capital femoral epihysis referral or management
Refer to orthopedist
Slipped capital femoral epihysis healing time
2-4 years
Putti’s triad; hypoplastic femoral head, shallow acetabular shelf, femoral head outside of acetabulum
Congenital hip displasia
acetabulum flattens
Orthopedic test for congenital hip dysplasia
Telescoping
Ortholani
Barlow’s
Alli’s
Axial migration of femoral head with uniform loss of joint space. Bilaterally most often occurs with RA
Protrusio Acetabuli