17.2 Limping Child Flashcards
1
Q
Risk factors for DDH?
A
FHx Breech First born packing race
2
Q
Clinical features of DDH?
A
-Limited abduction/flexion
-Assymmetric skin creases
shortening
3
Q
what imaging for kids under 6 months for DDH?
A
ultrasound
4
Q
what imaging for kids over 6 months for DDH?
A
x-rays due to ossification
5
Q
Age 4 with irritable hip ddx?
A
- transient synovitis
- septi arthritis
- Perthes disease
6
Q
for trasient synovitis, what age group? and history? Mx?
A
age 2-5 common likely a recent URTI Rx: rest and analgesia 2 week recovery
7
Q
Perthes disease is?
A
idiopathic avascular necrosis of femoral head
8
Q
perthes disease: what age?
A
4-10 years
usu. caucasians
9
Q
treatment of perthes disease?
A
“Containment”, allow reossification of femerol head
10
Q
what age for slipped cap?
A
Males 12/15
Females: 10-13
11
Q
how does slipped cap present?
A
knee or thigh pain
12
Q
long term follow up with slipped cap?
A
OA at age 50
need THR at age 50
