2nd Flashcards
(21 cards)
Ortolani for DDH?
Reduce manuever - Flex, abd, post pressure lift greater trochanter
TXT SCFE?
NWB + Surg (dcompress - reduce intra-articular pressure)
What is the most sensitive test for SCFE?
Loss of interanl hip rotation
What complications come w/ SCFE?
Chondrylosos
ON
Pavlik fails to TXT DDH?
Closed reduction w/ spica cast
DDH ass/w
Swaddling - and female
Metatrasus adductus
Breech presentation
Congenital torticollis
Drehamann sign
Obligatory ext rotation during P-ROM of Hip = SCFE
WHen should XR for DDH be taken?
4-6m (Ossification nucleues center medial and inferior to H/P lines
WHat line is used to tell if ice cream cone is off?
Kleins line
Pain occurs where w/ SCFE?
Groin, Hip, THigh. KNee
WHat dx test is used for the 1st year of life for DDH?
US - not before 6w (F+)
How does a SCFE pt walk?
Antalgic gaite w/ ext foot rotation
DDH TXT?
Pavlik harness - 6mo - Full time 6-12w - then just nights
What age group can use barlows, and ortolani?
<3mo
Where does a SCFE slip occur?
Physis
What pop does SCFE occur w/
Males, Overweight, pear shaped 13yo
Barlows for DDH?
Provactive - clunk - flex, add, w/ post pressure to joint
DDH Galeazzi test
Limb length - supine knees flexed - knee lower=dislocated
What would sugest unilateral DDH by looking at baby?
Asymmetric skin folds
DDH is a
Shallow, underdeveloped acetabulum that sublux or dislocates
Key to DX DDH is?
ID limited hip abduction
