HIGH YIELD II Flashcards
horizontal line connecting the two most medial and inferior points of the acetabular cavities?
hilgenreiners line
the femoral head is normally below or above the hilgreiners line?
below
vertical line at the lateral margin of the rim of the acetabulum
perpendicular to hilgreiners line and normally the head of the femur is in the lower bottom of the quadrant
perkins line
general tx?
abduct legs and force head of femur back into the acetabulum
indication for cast?
2-18 months
bachelors cast
frog or lorenze cast
groin down to the ankles
knee flexed 15-20 degrees
knee joined by the cross bar to stabilize the cast and maintain the correction
bachelors cast
hip abducted 45
cast extends from below the nipple line to the ankle
frog or lorenze cast
holds legs abducted
legs are allowed to move in flexion
child can tolerate this harness better as they are able to kick their legs
pavlik harness
a pillow is placed between the legs to accomplish the abduction required to place the head of the femur back into the acetabulum
freja pillow
a bar between the foot
denis browne bar
hip can dislocate up to age 2 years, hip is dysplastic and will not contain the femoral head
dysplastic dislocated hip
major compliction of abduction therapy?
avascular necrosis fracture of the femoral head sciatic nerve paralysis damage to head of femur cox planna
males>females
5-10 yrs old
seen in post tx for CDH
healing 2-3 yrs can result in coxa planna
rest brace to hold head in place
toronto brace
what is this disease
legg calve perthes disease
name sequelae for untreated CDH?
poorly developed femoral head
shallow acetabulum filled with fibrous tissue
internal femoral position of femoral neck
stretched psoas tendon
trendelenberg gait
