Congenital Anomalies - Hip and Knee Flashcards
(19 cards)
teratologic or antenatal disloc
severe form of CHD
acetabular dysplasia
shallow acetabulum
xray: 3-4 mo
congenital subluxation
hip neither dislocated nor seated in acetabulum
unstable hip
femoral can be disloc
discuss CHD
completely out; may or may not be reduced
pathology of CHD
hip in ExAddEr
acetabulum is shallow and roof slopes
femoral head displaced upward and bent back c flattening
adductors shortened and contracted
neonatal assessment of CHD
barlows - add to discol
ortolani - abd to reduce
telescoping - upward and downard
- inc skin fold
infancy up 2 yo assessment of CHD
galleazi - one knee higher when bent at 90
abd or hart sign - dec ROM in abd and more fat folds
trendelunburg or waddling - tight hip add
abduction lurch - tight add
conservative tx of CHD
von rosen - H shaped splint
Ilfeld - aluminum thigh bands c steel crossbar swivel
pavlik harness - straps
frejka pillow - pos in abd
surgical tx of CHD
traction and plaster - 6 mo
surgical resection of adductors
open reduction bet 18 mo to 2 yo; ant iliofemoral
redirection of acetabular bone
complications of CHD
osteonecrosis of femoral head
OA
acetabular dysplasia
ferguson method
tenotomy of iliopsoas tendon
< 18 mo
chiaris
lateral pelvis displacement to inc coverage
salter’s
acetabular redirection
ant iliac crest is opened
kirschner wire
placed 6 wks
pemberton’s
acetabular redirection
bone from iliac crest wedge in osteotomy line
discuss congenital knee disloc
congenital genu recurvatum
partial or complete ant disloc
displacement of tibial condyles
clinical picture of CKD
contracture of quads
absent or small patella
lateral instab of leg
tx of CKD
manip and serial casts
