– Diff Dx: – Intracapsular Fractures – Toxic Synovitis of the Hip – Septic Arthritis – Osteomyelitis – Legg Perthes disease in children. – Clinical Features: – person suffering from a painful Hip Joint effusion is most comfortable when seated with the painful thigh … Read more
– See: cerebral palsy – Discussion: – may occur in upto 30% of patients w/ spastic CP, and may occur in upto 50% of patients w/ spastic quadriparetic CP; – more severe contractures with … Read more
See: Acetabular Frx Femoral Neck Frx Radiology of the Hip Antibiotic Prophylaxis Anterolateral Approach Anterior Approach Anteversion of Hip Arthrodesis Arthroscopy of the Hip Aspiration Avascular Necrosis of the Femoral Head Blood Supply to the femoral head and neck; Capsule Child’s Hip – Pathologic disorders CDH Coxa Vara Dislocations of the Hip Effusion Embryology: … Read more
(see also: Acetabular Frx; Femoral Neck Frx; Radiology of the Hip) Antibiotic Prophylaxis Anterolateral Approach Anterior Approach Anteversion of Hip Arthrodesis Arthroscopy of the Hip Aspiration Avascular Necrosis of the Femoral Head Blood Supply to the femoral head and neck; Capsule Child’s Hip – Pathologic disorders CDH Coxa Vara Dislocations of the Hip Effusion Embryology … Read more
– Timing: – references: – Decompression and stable internal fixation of femoral neck fractures in children can affect the outcome. – Femoral Neck Fractures in Pediatric Patients: 30 Years Experience at a Level 1 Trauma Center. – Fractures of the hip in children and adolescents. – Earlier Time to … Read more
– Dislocation of Hip: – hip dislocation in children w/ myelomeningocele may either teratological or paralytic (which is due to muscle imbalance); – paralytic dislocation: – hip dislocation occurs because of paralysis of the hip abductors and extensors w/ unopposed hip flexors and adductors; … Read more
Hip Arthroscopy (see also hip joint and hip capsule) Indications evaluation of hip pain – candidates are patients with nonspecific radiographic findings and reproducible, functionally-limiting exam findings; false negative rate of plain x-ray, bone scan, CT, arthrogram, and routine MRI has been quoted as high as 80% in some patient populations. gadolinium enhanced MRI demonstrated a … Read more
– Discussion: – dislocate the hip posteriorly by flexing, adducting, and gently internally rotating the hip; – this may drive the femur against posterior edge of acetabulum; – place bone hook beneath femoral neck at level of lesser troch. to gently lift the head out of the acetabulum; … Read more
– See: Anterior Capsulotomy – Discussion: – fibrous capsule encloses hip joint & greater part of neck of femur; – it encloses the femoral head and most of its neck; – capsule is attached anteriorly at the intertrochanteric line; – posteriorly … Read more
– Discussion: (see limb development); – at 4 to 6 gestational weeks, the hip joint develops from the cartilaginous anlage; – by 7 weeks a cleft develops between precartilagenous cells which are programmed to form the femoral head and acetabulum; … Read more