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  • Pediatric Hip Diseases Algorithms: 6m Wait Till Year Then 1 Year OR + Spica Cast

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    Karamany
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    This document summarizes common pediatric hip diseases including developmental dysplasia of the hip (DDH), Legg-Calvé-Perthes disease, and slipped capital femoral epiphysis (SCFE). It outlines the typical age of onset, clinical presentations, imaging findings, classifications, and treatment approaches for each condition in 3 sentences or less.

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    Pediatric hip

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    Pediatric_hip_ds_algorithm_Massoud

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    This document summarizes common pediatric hip diseases including developmental dysplasia of the hip (DDH), Legg-Calvé-Perthes disease, and slipped capital femoral epiphysis (SCFE). It outlines the typical age of onset, clinical presentations, imaging findings, classifications, and treatment approaches for each condition in 3 sentences or less.

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    6 views1 page

    Pediatric Hip Diseases Algorithms: 6m Wait Till Year Then 1 Year OR + Spica Cast

    Uploaded by

    Karamany
    This document summarizes common pediatric hip diseases including developmental dysplasia of the hip (DDH), Legg-Calvé-Perthes disease, and slipped capital femoral epiphysis (SCFE). It outlines the typical age of onset, clinical presentations, imaging findings, classifications, and treatment approaches for each condition in 3 sentences or less.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    Pediatric hip diseases Algorithms

    Cap. Dr. Mahmoud MassoudMassoud, MD.

    DDH Perthes SCFE


    ‫ أروبا‬-‫أمريكا‬ ‫أسيا‬ ‫أفريقيا‬
    0-4 Ys 4-8 ys 8-12 ys
    O+- breech ‫األم‬ O→ pain/ limpig O→ pain/ limpig
    Barlow / ortolani/ Glizzie Classification x. Ray: AP/ frog Lat. klein line
    US : Bad B angle Waldernstrom( pathology) Southwick angle ( mild/ mod /
    XRay ‫ المهم‬disIocated or Herring(TTT)✓ sever)
    head Contained Congruent NB. old→ crescent/ Cattral xx loader classification: Stable/ un
    →lines: schenton/ Higenriner/ For Complication: stµLLburg
    perkin
    →Angles: Acet. index/ Center Head at Risk signs: clinical/
    edge angle Radiologic ‫مهم‬
    → Arthrogram + limitations of xRay→ disLocated/ Contained
    Reduction → healing/ healed
    (deformed)
    TTT TTT TTT
    <6 m→ pavilc Harness+ it’s A/ B<6 ys → Conserve: Stable+ mild→ insitu fixation
    precautions Analgesic + traction ‫شرح‬
    >6m→ wait till year then B>6 yS/ C→ Containment Moderate<24 h→try Reduction
    Surgery Surgery: Subtroch varus or + fix
    > 1 year→ OR + spica Cast salter osteotomy Moderate> 24 h/ seven/ chronic
    Approach NB. Hinge abduction / unstable→ Modified Dunn
    Dega osteotomy ‫األن‬ ✓ healed→ Labral Support operation‫شرح بالتفصيل‬
    Old→ Salvage: modified shelf osteotomy( shelf+ m. Release)
    osteotomy ( staheli Technique)
    Complications Complication Complications

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