Perthes Disease Flashcards
1
Q
Typical Presentation of Perthes Disease
A
Male Primary School Short Limp Knee Pain on exercise stiff hip generally well
2
Q
Aetiology of DDH
A
Avascular Necrosis of Hip
3
Q
Presentation on x-ray of DDH/Perthes
A
Small Sclerotic Epiphysis
4
Q
Prognosis for Perthes
A
The nearer the head is to round, the better the outlook (Stulberg)
5
Q
Treatment for Perthes
A
Splint
Physio
Analgesia
6
Q
SUFE Presentation
A
Groin Pain Short External Rotate Painful to Weight Bear More in Boys Overweight
7
Q
Prognosis is good in SUFE when able to
A
weight bear
8
Q
SUFE Detection
A
Pain in Hip or knee
external rotate posture and gait
reduced internal rotation esp flexion
9
Q
x rays in sufe best seen in
A
lateral view
10
Q
SUFE on X-Ray
Mild
A
<1/3
11
Q
SUFE on x ray Moderate
A
1/3-1/2
12
Q
SUFE on x ray Severe
A
> 1/2
13
Q
SUFE on pathology shows
A
displacement through hypertrophic zone
metaphysis moves ant and proximal
14
Q
what happens to identify SUFE on AP film
A
Klein Line
Trethowan sign
15
Q
SUFE can lead to
A
Impingement Limb Length Discrepancy Early Osteoarthritis Chondrolysis AVN
