Orthopaedics Flashcards
Presentation of DDH
0-1 yrs (female)
Perthes presentation
4-8y/o (male)
SUFE presentation
10-16 y/o
Transient synovitis presentation
mean 5-6 (diagnosis of exclusion)
what must be excluded in a limping child
septic arthritis
Perthes disease is?
avascular necrosis of the femoral head, resulting in femoral head collapse and fragmentation
Investigations in a limping child
bilateral hip x-ray
FBC
CRP
SUFE investigations to consider
bilatera hip x-rays
consider metabolic panel
most common cause of limp in a child
transient synovitis of the hip
Kocher criteria for septic arthritis
fever
CRP/ESR
Refusal to weight bear
Raised WCC
Salter Harris classification
S A L T E R
Slipped Above Lower Through Ruined
Harness used in DDH
Pavlov
What is tested on an aspirate for septic arthritis
WCC
Culture
Investigations in SA
FBC, CRP
Joint aspirate
Blood culture
Imaging for baseline
Babies born breech require what follow up?
US screening at 6 weeks