Hip Problems in Children

Question 1

Sequence of femoral head fragmentation and repair. Usually age 4-8. More common in boys

Answer 1

Legg-Calve Perthes Disease

Question 2

Associated with legg-calve perthes disease

Answer 2

delay in bone age and short stature

Question 3

Patient presents with prolonged limp or waddling gait with pain in the thigh, groin, or knee.

Answer 3

legg-calve perthes

Question 4

Imaging used to diagnose legg-calve perthes

Answer 4

AP and lateral view of hip. Wrist and hand films for bone age

Question 5

Treatment for legg-calve perthes

Answer 5

traction and bed rest

Question 6

Necessary for surgical intervention in legg-calve perthes either varus osteotomy or innominate osteotomy

Answer 6

near normal range of motion

Question 7

epiphysis becomes posterior displaced on the femoral neck.

Answer 7

Slipped Capital Femoral Epiphysis

Question 8

Complication of slipped capital femoral epiphysis in adults

Answer 8

osteoarthritis

Question 9

Complication of slipped capital femoral epiphysis in adolescents

Answer 9

chondrolysis or avascular necrosis

Question 10

Major risk factor for slipped capital femoral epiphysis

Answer 10

obesity

Question 11

Patient presentation includes abrupt onset of groin pain. Pain is localized to the anterior hip, groin, or medial thigh and knee

Answer 11

slipped capital femoral epiphysis

Question 12

What happens with passive hip flexion in patient who has SCFE?

Answer 12

obligatory external rotation

Question 13

Most important diagnostic studies for SCFE

Answer 13

AP and lateral radiographs

Question 14

Treatment for SCFE

Answer 14

Single screw fixation in femoral neck