حالات مرضيه في مفصل الورك عند الاطفال Pediatric hip cases - البروفيسور فريح ابوحسان

11/03/1411/03/14
Professor Freih Abuhassan - UniversityProfessor Freih Abuhassan - University
of Jordanof Jordan 11
Pediatric hip Cases

Pediatric hip Cases
F.R.C.S.(Eng.), F.R.C.S.(Tr.& Orth.)
Professor of Orthopedics
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of Jordanof Jordan

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of Jordanof Jordan

What is your Dx?1
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of Jordanof Jordan

Rt Thigh and Knee Pain
Age: 10-Year Old, Obese
2
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of Jordanof Jordan

Klein line11/03/1411/03/14 66
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3
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4
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6
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7
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of Jordanof Jordan

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of Jordanof Jordan

6-year old male who presents
with a chief complaint of a limp
which began 6 m ago.
=There is a 2 cm LLD.
=His Rt thigh is smaller than left.
=There is pain with hip extension
and external rotation.
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of Jordanof Jordan

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7-year old male with a history
of recurrent pain in his left
thigh for three months.
Initially, this pain would awaken
him at night
8
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of Jordanof Jordan

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The joint space is slightly widened.
Thickening of the medial cortex of the
femoral neck (the calcar(.
Faint oval lucency within the femoral neck. 11/03/1411/03/14 1818
of Jordanof Jordan

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of Jordanof Jordan

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of Jordanof Jordan

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of Jordanof Jordan

9
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Who is responsible?11/03/1411/03/14 2323
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10
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of Jordanof Jordan

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11
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of Jordanof Jordan

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A 4 m old female child
Dx to to have Rt AD
12
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of Jordanof Jordan

2w later 27-2-2001
admitted for Gallows traction.
O/E
=Symmetrical creases
=-ve Ortolani, Barlows
=Tight adductors
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of Jordanof Jordan

EUA  dislocatable Rt hip
adductor tenotomy.
Then 1 week Gallows traction,
followed by Hip spica for 3m.
1st
Surgeon
12-3-2001
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of Jordanof Jordan

19-06-2001
Age: 8m
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of Jordanof Jordan

19-06-2001
Age: 8m
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Another 10w Bacheolar cast.
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03-10-2001
11.5m
ABD
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03-10-2001
11.5mADD
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2nd
Surgeon
Rt AVN
Plan: -Abduction splint
-See 2m
9-10-2001
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of Jordanof Jordan

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of Jordanof Jordan

05-08-2002
21m
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of Jordanof Jordan

29-09-2002
23m
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23m
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24m
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5-04-200511/03/1411/03/14 4747
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4th
Surgeon
Needs valgus osteotomy + Ilizarov
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of Jordanof Jordan

7-11-200511/03/1411/03/14 5050
of Jordanof Jordan

5th
surgeon
Percutaneous valgus osteotomy
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of Jordanof Jordan

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of Jordanof Jordan

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of Jordanof Jordan

حالات مرضيه في مفصل الورك عند الاطفال Pediatric hip cases - البروفيسور فريح ابوحسان

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حالات مرضيه في مفصل الورك عند الاطفال Pediatric hip cases - البروفيسور فريح ابوحسان