SGUL LOB's for Paediatrics: Neonatology (Developmental Dysplasia of the Hip and Talipes).
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Created by Andrew Street
almost 8 years ago
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2017-01-30T16:26:53Z
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What is developmental dysplasia of the hip (DDH)?
Incidence: 2:1000 (but up to 20:1000 newborn hips are unstable; 90% spontaneously stabilize by 9/52). What are the risk factors?
DS progression = Capsular laxity + shallow acetabulum → instability/subluxation/dislocation → muscle contracture → progressive acetabular dysplasia with a fibrofatty substance filling the acetabulum; femoral head becomes hypoplastic. What is the typical Hx?
All newborn infants are screened for DDH before discharge. Describe how you would perform Ortolani's & Barlow's test.
Ix of DDH pre & post 6/12.
Rx of DDH.
What is postional talipes & how is it corrected?
What is talipes equinovarus?
Rx of talipes equinovarus.
What is talipes calcaneovalgus?
