Peadriatic the big 3

Question 1

developmetnal dysplasia of the hip is maily assocated iwth

Answer 1

being easter euorpeia
beign from the artic area

Question 2

risk factor of developmental dyspsia of hte hip is

Answer 2

female
first born
oligohydrosiis - lack of fluid in the amnioic sac
breech presenatino
family history
lower limb defiores
increaase weight

Question 3

clicnal presation of ddh

Answer 3

ortolani’s sign - feel clunk when abducts and interally roates hip - will start to reduce it
barlow’s sign - mild adduction had is unstable - will start to diolacate it
piston motion sign
hamstring sign

Question 4

screening for ddh is

Answer 4

ultrasound and manovers

Question 5

treatment of ddh is

Answer 5

if less than 3 motns - simple spint
3 motns - 1 year - closded ruectiona nd spica cast
over a year reductionand capsule reefng
over 18 moths open reduionadn femoral shortieing
over 6 and bilatarls - leave alone
over 10 and univlater and leave alone

Question 6

ultraound screninn is for

Answer 6

family hisotry, breach birth or the baby is over 10 pounds

Question 7

pathens disase history is

Answer 7

short, primary school age, limp, knee pain on exercise, stiff hip joint , systematiicly well, male

Question 8

cause of perthens disase

Answer 8

avacler necose of hip due to hypercoclatoina nd poor blood flow to tissue

Question 9

prognosi is better in perthes diease is

Answer 9

younger is better
herring grade - laterla pillar - if better hight near end it is better rogonsis
nearer head is to round the better

Question 10

treametn of pages is

Answer 10

maintain hip motion
analgieas,
restic painful acives
supersied neclger - do nothing with regular x rays
osteomey if over 7 and severe

Question 11

bilatarl perthes occurs

Answer 11

one joint at a time, never both joints at the same tiem

Question 12

slipped upper femarol epitessis genrally efects

Answer 12

older childen - secondary school
obese childree
males over femalse

Question 13

chonric sufe is after

Answer 13

3 weeks

Question 14

unstabel sufe is

Answer 14

not able to weight bear

Question 15

sufe presents as

Answer 15

pain in hip, exterally roated, posture and gait
reuced intearl roation, this is espeily in flextion
plain in x rays

Question 16

radioocal feauers of sufe is

Answer 16

mild = less than 1/ 3
moderatea 1-3 to 1/2
severe more than 1/2

Question 17

sign in sufe is

Answer 17

kleins line

Question 18

treatment of sufe is

Answer 18

a pin though the area

Question 19

outcome of sufe is

Answer 19

avn
chrondolss
deformity
early osteoproso
slip on one side
limb lenght discrpary
impingeemtn