hip disorders in childhood

Question 1

A neonate who is not moving their right leg normally.

An infant with generalised malaise for 2 days, with a fever, is not moving their R leg
normally

Answer 1

septic arthritis

Question 2

A toddler who walked at 12 months of age and presents with a painless limp, shortening of the left leg and
reduced abduction of that hip.

Answer 2

DDH (late presentation)

Question 3

A teenager presenting with a few weeks history of a painful limp. He has an antalgic gait and a positive Trendelenberg test. There is slight shortening and external rotation of the affected leg.

Answer 3

SUFE

Question 4

A child of primary school age presents with an acute onset of pain in the groin and a limp the morning after a “bouncy castle party‟. The child is apyrexial and the hip movements are well preserved except for medial rotation..

Answer 4

irritable hip

Question 5

A child at primary school presents with several months‟ history of a limp and groin pain. Because of stiffness in the hip it takes up to half-an-hour before she can walk each morning. There is a history of knee swelling the previous year, which settled with Ibuprofen. Examination reveals restriction of all hip movements and a marked fixed flexion contracture.

Answer 5

JIA