Peds (Pediatric Hip Conditions) Flashcards Preview

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Flashcards in Peds (Pediatric Hip Conditions) Deck (8)
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1
Q

Legg-Calvé-Perthes Disease

A
Osteochondrosis: a disease of the
growth or ossification centers in children
which begins as a degeneration or
necrosis followed by regeneration or
recalcification

Self-limited disease of hip produced by
ischemia, varying degrees of avascular
necrosis of femoral head and
spontaneous regeneration

2
Q

Legg-Calvé-Perthes Disease Incidence

A

-Most commonly boys 5-7

-Active, skeletally immature boys

3
Q

Legg-Calvé-Perthes Disease Intervention

A

Goal: containment of femoral head so it
regenerates smoothly with good shape

Physical Therapy
-ROM: especially to gain hip abduction,
internal rotation
-Gait training with device or post-op
-Promote symmetry
-Pain management
4
Q

Slipped Capital Femoral Epiphysis (SCFE)

A

Displacement of femoral head on femoral
neck; head inferior and posterior in relationship
to femoral neck

5
Q

SCFE Incidence

A

-Boys:girls, 2:1, even higher in African American boys
-Tend to be obese, skeletally immature males,
around time of puberty (11-14)

6
Q

Legg-Calvé-Perthes Disease Impairments

A

Impairments
-Pain often in knee or groin
-Limited hip ROM: abduction, internal rotation
- Limp

Functional limitation
-Gait
-May be inconsistent

Long-term outcome: approximately 50% will have
degenerative hip disease by 5th decade
7
Q

SCFE Impairments

A
- With flexion, hip moves into ER
-↓ hip flex, abd, int rot
 -Limp
- Pain
-Shortening of affected limb
8
Q

SCFE Intervention

A

-Range of motion
-Gait training: non-weight bearing
preoperatively
-Promote symmetry