Paediatric Orthopaedics Flashcards
What does DDH stand for?
Developmental Dysplasia of the HIp
Risk factor for DDH
First born, Oligohydramnios, Breech, Family history, Other lower limb deformities
Clinical signs of DDH
Ortolani’s sign,
Barlow’s sign,
Piston Motion sign
<3 month management of DDH?
Splint
3month to 1 year management of DDH?
Closed reduction,
Spica cast
> 1 year DDH treatment?
Open reduction,
Capsule reefing
> 18 months DDH treatment?
Open reduction with femoral shortening and pre-acetabular osteotomy
What does LCP stand for?
Legg-Calve_Perthes Disease
Presentation of Legg-Calve-Perthes Disease?
Short stature,
Limp,
Knee pain on exercise,
Stiff hip joint
What is Legg-Calve-Perthes disease?
Avascular necrosis of proximal femoral head
What are the phases of LCP?
1- avascular necrosis,
2- Fragmentation- revvascularisation,
3- reossification
4-Residual deformity
Unilateral differential for LCP
Septic hip,
JIA,
SCFE,
Lymphoma
Bilateral differential of LCP?
Hypothyroid,
Sickle,
Epiphyseal dysplasia
Treatment of LCP?
Hip motion maintained,
Analgesia,
Restrict painful activities,
Osteotomy (>7years)
What is SCFE?
Slipped capital femoral epiphysis