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Hip Diseases in Children
Hip Dysplasia, SCFE, Legg-Calve-Perthe Disease
Disease |
Age |
Male/Female |
Bilaterality |
Race |
Best Film |
Other |
Congenital Hip Dysplasia |
Birth |
5-9x more common in females
10x more common if breech |
1/3 |
Almost never in Blacks |
AP—not frog |
ORTALANI
CLICK—
with leg flexed, dislocate by adduction, click on
relocation with abduction |
Slipped Capital Femoral Epiphysis |
Teenagers 12-15
Heavy or tall
Younger in girls (8-15) |
Boys>girls
June-September
most often |
1/4 |
Blacks more often |
AP |
Avascular necrosis in
6-15% |
Legg- Calve- Perthe’s Disease |
~5 years |
Male>
females |
1/10
Bilateral in females is rare |
None |
Frog lateral-for subarticular lucency |
Arthrography usually neg
Better prognosis under 5
Synovitis may be 1st sign
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