Flashcards in 3- Paediatric Hip, Knee, Spine, Foot and Ankle Conditions Deck (31)
What happens in developmental dysplasia of the hip (DDH)?
Dislocation/subluxation of femoral head during perinatal period
Girls are more commonly affected by DDH than boys. True/False?
List risk factors for DDH
List clinical features of DDH
Thigh skin creases
Ortolani/Barlow +ve tests
Describe a +ve Ortolani test
Click upon reducing a dislocated hip with abduction + anterior displacement
Describe a +ve Barlow test
Clunk upon dislocating a hip with adduction + posterior displacement
What is the name of the special harness used to keep hips in comfortable flexion and abduction?
When does transient synovitis of the hip usually occur?
After an URT infection
Boys are less affected by transient synovitis of the hip than girls. True/False?
Is transient synovitis the commonest cause of hip pain in childhood?
List clinical features of transient synovitis
Reluctance to weight bear
Outline treatment for transient synovitis
NSAIDs and rest
Should resolve, if not seek other diagnosis
What is Perthes disease?
Idiopathic osteochondritis of the femoral head, causing necrosis + abnormal growth
What happens to the femoral head as a result of Perthes disease?
Loses its blood supply
Who usually gets Perthes disease?
Boys 5:1 girls
Between age of 4-9
List clinical features of Perthes disease
Loss of internal rotation
Loss of abduction
In slipper upper femoral epiphysis (SUFE), in which direction does the femoral head epiphysis move?
Inferiorly in relation to femoral neck
Who does SUFE typically affect?
Overweight, pre-pubertal adolescent boys
List clinical features of SUFE
PAIN IN THE KNEE (so examine hip!)
Loss of internal rotation of hip
How is SUFE treated?
Pin the femoral head to prevent further slippage
Anterior knee pain in adolescence is common. True/False?
At what age period is dislocation/subluxation of the patella most common?
What is another name for talipes equinovarus?
How does clubfoot arise?
In-utero abnormal alignment of joints between talus, calcaneus and navicular
List clinical features of clubfoot
Ankle equinus (plantarflexion)
Contracted soft tissue
Girls get clubfoot more than boys. True/False?
Boys 2:1 girls
Outline treatment for clubfoot
Splintage (Ponseti technique)
Back pain in a child/adolescent is a red flag sign. True/False?
In scoliosis, which way does the spine curve?