THE LIMPING CHILDSUMMARY OF ORTHOPAEDIC PAEDIATRIC CONDITIONS

DEVELOPMENTAL DYSPLASIA OF HIP

RISK FACTORS: BREECH, FAMILY HISTORY, FEMALE

TESTS: EXAMINE (BARLOW, ORTOLANI), USS, XRAY

MANAGEMENT:

1. 0-3 MONTHS: PAVLIK HARNESS

2. 3-12 MONTHS: PLASTER CAST

3. OLDER THAN 12 MONTHS: OPEN REDUCTION SURGERY

PERTHE’S

NECROSIS OF FEMORAL HEAD

COMMON IN BOYS

AGE RANGE: 4-8 YEARS

THE CHILD IS LIMPING

DIAGNOSIS: X-RAY

MANAGEMENT: BED REST, PAINKILLERS, BRACE/SPLINT, SURGERY

SLIPPED UPPER FEMORAL EPIPHYSIS

OBESE, BOYS

AGE: 12-15

SHORT LEG, EXTERNAL ROTATION, PAIN, LIMP

DIAGNOSIS: X-RAY

MANAGEMENT: PAINKILLERS, BED REST, SURGICAL CORRECTION

CONGENITAL TALIPES EQUINOVARUS

COMMON IN BOYS

DIAGNOSIS: UNBORN-ULTRASOUND, BIRTH-EXAMINATION

TREATMENT INVOLVES USING STRETCHES OR SURGERY (PONSETI METHOD, ACHILLES TENDON SURGERY, APPROPRIATE SHOES)