The Hip - book

Deep Venous Thrombosis (DVT) – Ultrasound

Discussion allows assessment of DVT from the external iliac vein down to the popliteal veins visualization distal to the popliteal veins is usually not possible may be able to detect patency of major vessels, but it is not effective for smaller vessels will not diagnose pelvic thrombi note that clots seen on ultrasound comprise a … Read more

Ultrasound for DDH

– See: DDH – Discussion:     – ultrasound allows description of the morphology of the acetabulum and the stability of the joint (dynamic examination);     – ultrasound becomes less useful after 6 months of age because of progressive ossification of the femoral head;     – joint stability:           … Read more

Type I Transepiphyseal Separation

– Discussion:     – least common pediatric femoral neck frx (about 7%);     – capital femoral epiphysis may stay w/in acetabulum but in 50% of cases the capital fragment is dislocated;     – tends to occur in infants and young children;     – this injury may be the result of a … Read more

Two-Column Fractures

  – Discussion:     – both column frxs separate the roof from the iliac wing or sacroiliac joint (no articular segment remains              attached to a segment of the iliac wing or SI joint); – Radiology;    – The Spur Sign    – Both Column Frx   – Operative Rx:      – indicated … Read more

Tumors of the Pelvis

                                               Local Tenderness  – Osteosarcoma (common)—————————– Yes  – Ewing’s sarcoma: (common) ———————— Yes  – chondrosarcoma ———————————– Yes  – Osteochondroma       (Osteocartilaginous Exostosis)  – Fibrous Dysplasia ——————————– Yes  – Eosinophilic granuloma ————————— Yes  – Aneurysmal bone cyst  – Prostatic Ca:       – most of prostatic ca mets are blastic & do not require … Read more

Treatment: SCFE:

– Discussion:      – acute slip:      – acute on chronic slip:      – chronic slip:      – treatment of is designed to fuse epiphysis on femoral neck which prevents further slipping;      – this usually involves insertion of one or more screws into anterior aspect of  greater trochanter or … Read more