Infant Assessment Flashcards
Variant of dysplasia of the hip with fixed dislocation, occurs prenatally, usually associated with neuromuscular disorders
teratologic
Variant of dysplasia of the hip where femoral head is reduced, can be fully dislocated or partially subluxated
unstable hip
Variant of dysplasia of the hip where femoral head does not articulate and may not be reducible
dislocated hip
Variant of dysplasia of the hip where femoral head contacts a portion of the true acetabulum.
subluxated hip
Variant of dysplasia of the hip where acetabulum is shallow, femoral head is subluxated or normal.
acetabular dysplasia
Physiology of congenital hip dysplasia
Ligamentous laxity, hormonal, and genetic
performed by adducting the hip while applying light pressure on the knee, directing the force posteriorly. If hip is dislocateable, the test is positive
Barlow test
It relocates the dislocation of the hip joint that has just been elicited by the Barlow maneuver. A positive sign is a distinctive ‘clunk’ as the femoral head relocates
Ortolani test
Treatment for congenital hip dysplasia that can be used up to 6 months of age
Pavlik Harness
Treatment for congenital dysplasia of hip if Pavlik harness fails. Can be done up to 2 yrs of age. Spica cast worn for 3 months
closed reduction
Most common complication of hip reduction
osteonecrosis
Metatarsal bones deviated inward. Usually improves over time without surgical intervention
metatarsus adductus
Treatment for clubfoot
Casting- Ponsetti technique for 6 months
Rigid flat foot that isn’t flexible. Always needs surgical correction. Rare condition
Congenital Vertical Talus
Skin of digits grown together. Separated surgically
syndactyly
