– See: Pediatric Femoral Frx Menu – Discussion: – timing: – Immediate single-leg spica cast for pediatric femoral diaphysis fractures. – contraindications: – unacceptable shortening or angulation; – open fractures; – thoracic or intra-abdominal trauma; … 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
– 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: rheumatoid arthritis – Discussion: – rheumatoid cervical spine: – ensure that anesthesia is prepared for possible need for bronchoscopic intubation; – total hip arthroplasty in rheumatoid arthritis: (see total hip replacement); – protrusio acetabuli is common and is often … 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
– Considerations: – select point on lateral side of shaft of femur midway between anterior & posterior cortices at the midpoint of the lesser trochanter; – if pins are inserted below the level of the lesser trochanter, a stress riser will be created in cortical bone; … 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
– See: hip capsule – Discussion: – femoral neck frx may increase intracapsular pressure and capsular distention; – this may decrease perfusion through the capsular vessels and contribute to development of osteonecrosis; – immediate joint aspiration following femoral neck frx may reverse intracapsular pressure and AVN; – Capsulotomy Technique: … 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