Childhood Hip Disorders Flashcards Preview

Musculoskeletal > Childhood Hip Disorders > Flashcards

Flashcards in Childhood Hip Disorders Deck (10):
1

DDH

Developmental dysplasia of the hip

2

Risk factors for DDH

Breach position in utero or at birth
Girls, first born, left hip
Family History x10
Other musculoskeletal abnormalities (e.g club foot, torticollis

3

Examination in DDH

-Look for asymmetry
-Feel for clink/clunk
-Move - check abduction!

4

Instability tests

Barlow and Ortolani

5

Barlow Test

Attempt at subluxation/dislocation of by flexion adduction

6

Ortolani

Attempt to relocate a dislocated hip by abduction

7

Most common cause of hip pain in 4-10 years?

Transient Synovitis

8

Symptoms of late presenting CDH?

Painless limp
Short Leg
Trendelenberg test
Asymmetric creases
X-Ray especially at this age!

9

What is perthes? and who does it affect?

Idiopathic avascular necrosis
-develops over a couple of weeks
Boys
Ages 4-8
Bilateral 10%

10

What is transient synovitis?

Most common cause of hip pain in 4-10 year olds, twice as common in boys

May follow an upper respiratory tract infection
Self limiting (two weeks)
-develops acutely

-usually no pain at rest
-ESR may be slightly raised