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9 Cards in this Set
- Front
- Back
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if delivery following successful version, is risk of hip dysplasia increased? |
yes. risk increases if breech after 34 weeks. tight swaddling of legs is also a risk factor |
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Barlow and Ortolani maneuvers are most useful prior to which age? |
3 months. after that, instability often resolves even if alignment is abnormal Clicks are ok (tendons or ligaments), clunks are concerning (instability) |
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age at which to stop screening for hip dysplasia |
initiation of walking |
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what is Galeazzi test? is it specific for DDH? |
lay on back, feet flat on surface, heels touch butt. knee height should be equal. suggests femur length discrepancy. not specific for DDH. hip abduction should be >75 degrees |
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usual childhood consequences of DDH |
none. predisposes to DJD in adulthood often bilateral |
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2 indications for routine U/S screening for DDH. age at which to screen. |
breech after 34 weeks gestation family history of DDH or arthroplasty prior to age 40 screen at age 4-6 weeks adjusted for prematurity |
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likelihood that hip instability will self-resolve by age 3 months |
90%. ok to delay screening |
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if DDH suspected at age 7 mos, which test to order? |
x-ray. U/S is most helpful prior to age 6 mos |
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typical treatment for DDH |
abduction splint reduction under anesthesia may be required prior to splinting earlier initiation of treatment may improve outcomes |
