Learning Radiology xray montage
 
 
 
 
 

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