Hip

Decreased neck-shaft angle that is associated with an ossification defect in inferior femoral neck Etiology : Developmental, Congenital Acquired, Dysplasia, Cretinism Presents with altered gait, short limb, excessive lumbar lordosis  X rays : Varus neck shaft angle <120 degrees, Short femoral neck, vertical physis, Triangular metaphyseal fragment in inferior femoral neck, Increased Hilgenreiner’s epiphyseal angle (normal <25 degrees), Decreased femoral anteversion Operative: indications are…

More common in females (6:1), first born, left hip (60%) more than right, and Bilateral in 20% Presentation depends on the age of baby Barlow and ortalani test sensitive upto to 95% in first 6 weeks and there after sensitivity decreases  USG scan investigation of choice in suspected new born cases Radiographs useful after 6 months of age As the child grows, following…

Pre-injury mobility is the most significant determinant for post-operative survival Radiographs sufficient  THA demonstrated superior clinical and functional outcomes Lower revision rates for primary total hip arthroplasty (THA) when compared to primary internal fixation Cemented femoral stem resulted in better quality of life and hip function Anterolateral surgical approach results in a lower risk of prosthetic dislocation Secondary  THR after…

Causes: repetitive sporting maneuvers, femoroacetabular impingement (FAI), or dysplasia 10-year outcomes following arthroscopic labral debridement and labral repair showed no significant difference in the rate of conversion to total hip arthroplasty (THA) or postoperative outcome scores between groups Superior outcomes in patients treated with arthroscopic labral reconstruction compared to those treated with labral resection Selective debridement may be chosen in…