Paediatric orthopaedics Flashcards

1
Q

What are the risk factors for developmental dysplasia of the hip?

A
Female
First born
Oligohydramnios
Breech position
FH
Other lower limb deformity
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2
Q

What are the clinical features of hip dysplasia?

A

Ortolani’s sign
Barlow’s sign
Piston motion sign

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3
Q

What investigations are done for hip dysplasia?

A

Exam

US if suspicion on exam

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4
Q

What is the management of hip dysplasia?

A

Pavlik harness

Surgery

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5
Q

What are the clinical features of Legg-Calve-Perthes disease?

A
Short stature
Limp
Knee pain with exercise
Stiff hip
Systemicall well
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6
Q

Who is Legg-Calve-Perthes disease seen in?

A

Boys> girls

Primary school age

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7
Q

What are the phases of LCP disease?

A

Avascular necrosis
Fragmenttion- revascularisation and pain
Reossification
Residual deformity

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8
Q

What causes Perthes disease?

A

Disruption of blood flow to head of femur

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9
Q

What is the differential for unilateral Perthes?

A

Septic hip
Juvenile idiopathic arthritis
SUFE
Lymphoma

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10
Q

What is the differential for bilateral LCP?

A

Hypothyroid
Sickle
EPipjyseal dysplasia

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11
Q

What is SUFE?

A

Posteriomedial displacement of proximal femoral epiphysis in relation to the neck

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12
Q

Who is SUFE seen in?

A

Boys > girls
Age 9-16, usually over 11s
Associated with growth spurt and obesity

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13
Q

What causes SUFE?

A

Increased load
Weak physics
Both

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14
Q

What are the signs and symptoms of SUFE?

A
Pain- groin, knee, thigh
Limited ROM
Limp
History of trauma
Deformity- external rotation, esp on flexion
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15
Q

What investigations are done for SUFE?

A

Frog lateral xray- slipped ice cream cone appearance

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16
Q

What is the treatment of SUFE?

A

Pin in situ

17
Q

What are the outcomes of SUFE?

A
Resolves
Avascular necrosis
Chrondrolysis
Deformity
Early osteoarthritis