Hip Pain In Children

Question 1

Most common cause of hip pain in kids

Answer 1

Acute transient synovitis

Question 2

3 main causes of pain in children

Answer 2

1. Congenital hip dislocation
2. Slipped Capital femoral epiphysis
3. Legg-calve-perthes disease

Question 3

Which of the three has a hip flexion contracture

Answer 3

LCPD

Question 4

Preferred method of treatment in SCFE

Answer 4

Surgery

Question 5

Which of the three do endocrinopatheis increase the risk for?

Answer 5

SCFE

Question 6

Which of the 3 is Down syndrome associated with?

Answer 6

SCFE

Question 7

In SCFE, which way does femoral head slip

Answer 7

Posteriorly and medially

Question 8

Barlow’s vs ortolani

Answer 8

Barlows = dislocate with flexion and adduction
Ortolani = reduce with flexion and abduction

Question 9

Which of the 3 does breech position increase risk for?

Answer 9

Congenital hip dislocation

Question 10

After how many weeks can x-ray be used to diagnose congenital hip dislocation

Answer 10

6 weeks

Question 11

SCFE vs LCPD - which is usually unilateral and which is bilateral

Answer 11

SCFE = bilateral
LCPD = unilateral

Question 12

At what age can you do a closed reduction in someone with congenital hip dislocation

Answer 12

<6 months

Question 13

SCFE vs LCPD - which is painful and which is painless

Answer 13

SCFE = painful
LCPD = painless

Question 14

Which of the three does hypothyroidism increase the risk for?

Answer 14

SCFE and LCPD, but more in SCFE