peds55

Question 1

developmental dysplasia of the hip

Answer 1

when the acetabulum is abnormally flat, leading to the easy dislocation fo the head of the femur

Question 2

developmental dysplasia of hip- more common in girls or boys?

Answer 2

6x more common in girls

Question 3

risk factors for developmental dysp of hip

Answer 3

female sex, first born, breech presentation, fam hx, and oligohydramnios

Question 4

clinical features of developmental dysplasia of hip

Answer 4

positive barlow manuever; positive ortolani maneuver; abnormal galaezzi sign; asymm abduction of the hips and asymm thigh or butt folds

Question 5

barlow maneuver

Answer 5

attempt to dislocate a dislocatable hip; pos in dysplasia of the hip

Question 6

ortolani maneuver

Answer 6

reverse of the barlow; relocate a dislocated hip

Question 7

galeazzi sign

Answer 7

assesses asymm of femur position; place hips in flexion at 90 deg

Question 8

diagnosis of dysplasia of the hip

Answer 8

u/s in kids up to 6 months old; AP radiograph in older kids

Question 9

management of dysplasia of the hip

Answer 9

the earlier the dx, the less likely surgery will be needed; pavlik harness