Orthopaedics Disease Presentations

Question 1

A child presents with bowed legs and knocked knees with sore and painful legs that they are reluctant to walk on. On gait examination they are waddling.
Give the differential diagnosis, investigations and management.

Answer 1

-Ricket’s
-Test for serum 25-hydroxyvitamin D
-Ergocaciferol (Vit D)

Question 2

65 y/o man suffered a fall and presents to A&E with pain in the groin radiating to the knee. He is unable to weight bear on his right hip. The leg is shortened, abducted and externally rotated.
Give differential diagnosis, investigations and management.

Answer 2

-Hip fracture
-X-ray, AP and lateral
-Anaglesia, operation followed by early mobilisation