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)
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