MSK PAEDS

Question 1

Differentials for hip pain (0-4 year olds)

Answer 1

Septic arthritis
Developmental dysplasia of the hip
Transient synovitis

Question 2

Differentials for hip pain (5-10 yr olds)

Answer 2

Septic arthritis
Transient synovitis
Perthes disease

Question 3

Differentials for hip pain (10-16 year olds)

Answer 3

Septic arthritis
Slipped upper femoral epiphysis (SUFE)
Juvenile Idiopathic Arthritis

Question 4

HIP PAIN Red Flags

Answer 4

Child under 3 years 
Fever
Waking at night with pain 
Weight loss 
Anorexia 
Night sweats 
Fatigue 
Persistent pain 
Stiffness in the morning 
Swollen or red joint

Question 5

Criteria for screening for developmental dysplasia of the hip?

Answer 5

following infants require a routine ultrasound examination:
- first-degree family history of hip problems in early life
- breech presentation at or after 36 weeks gestation, irrespective of presentation at birth or mode of delivery
- multiple pregnancy

all infants are screened at both the newborn check and also the six-week baby check using the Barlow and Ortolani tests

Question 6

Management of developmental dysplasia of the hip

Answer 6

Most unstable hips will spontaneously stabilise by 3-6 weeks of age
Pavlik harness in children <4-5 months
Older children may require surgery (>6 months)