Podcast
Questions and Answers
What is a primary goal of treatment for Legg-Calve’-Perthes Disease?
What is a primary goal of treatment for Legg-Calve’-Perthes Disease?
Children over the age of 8 with Legg-Calve’-Perthes Disease are less likely to develop residual limp or arthritis.
Children over the age of 8 with Legg-Calve’-Perthes Disease are less likely to develop residual limp or arthritis.
False
What common developmental condition might result in the upward displacement of the femoral neck?
What common developmental condition might result in the upward displacement of the femoral neck?
Slipped Capital Femoral Epiphysis
Legg-Calve’-Perthes Disease primarily affects the _____ head.
Legg-Calve’-Perthes Disease primarily affects the _____ head.
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Match the hip disorder with its correct feature:
Match the hip disorder with its correct feature:
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What treatment is typically recommended for Slipped Capital Femoral Epiphysis?
What treatment is typically recommended for Slipped Capital Femoral Epiphysis?
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Coxa Vara is characterized by an increase in the angle of inclination of the hip joint.
Coxa Vara is characterized by an increase in the angle of inclination of the hip joint.
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What might be a treatment option for correcting the angle in Coxa Vara?
What might be a treatment option for correcting the angle in Coxa Vara?
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In case of coxa vara, the tibia is usually angled in, known as Genu ____.
In case of coxa vara, the tibia is usually angled in, known as Genu ____.
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What symptom is often associated with an acute slip in Slipped Capital Femoral Epiphysis?
What symptom is often associated with an acute slip in Slipped Capital Femoral Epiphysis?
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Study Notes
Legg-Calve’-Perthes Disease
- Prognosis depends on age and severity of the collapse of the femoral head.
- Children over 8 may have a residual limp, deformity, and arthritis.
- Treatment focuses on maintaining the humeral head within the acetabulum, regaining range of motion, reducing pain and dysfunction.
- Conservative treatment includes weight bearing, abduction brace/cast for up to 2 years, and physical therapy for pain relief, range of motion, strengthening, and gait training.
- Surgery is an option for selected cases.
- Long-term follow-up is necessary.
Slipped Capital Femoral Epiphysis (SCFE)
- Unknown etiology.
- Weakening of the proximal epiphysis causes an upward and anterior displacement of the femoral neck, similar to a scoop of ice cream falling off a cone.
- Involves a fracture of the growth plate.
- Slippage is usually gradual but can be acute.
- One of the most common developmental conditions of the hip joint.
- Occurs in boys aged 11-16 years old, typically in two body types: recently tall and skinny (growth spurt) and large and obese.
Slipped Capital Femoral Epiphysis (SCFE) - Clinical Features
- Acute slip: pain, "leg giving out", leg in external rotation. Often more serious.
- Weeks of pain in the hip, groin, and knee.
- Intermittent limp (unilateral) or a "waddle" (bilateral).
- Leg held in external rotation.
- Restricted internal rotation, flexion, and abduction.
Slipped Capital Femoral Epiphysis (SCFE) - Treatment and Complications
- Treatment includes surgery and physical therapy focused on gait training, therapeutic exercises, strengthening, and range of motion.
- Complications include avascular necrosis, premature arthritis, and chondrolysis (rapid cartilage destruction in the joint, leading to narrowing or loss of joint space).
Coxa Vara
- Characterized by a decreased angle of inclination at the hip.
- Can be acquired (due to Legg-Calve’-Perthes, SCFE, bone disease, or injury) or congenital.
- Results in a shortened limb.
- Treatment involves a shoe lift or osteotomy to correct the angle.
- Coxa Vara results in an angled-in knee (genu valgum) and a tibia that is oriented inward.
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Description
Explore the critical aspects of Legg-Calve’-Perthes Disease and Slipped Capital Femoral Epiphysis in this quiz. Understand the prognosis, treatment options, and the demographics most affected by these conditions. Test your knowledge on how these common pediatric orthopedic issues are managed and their long-term implications.
