SLIPPED CAPITAL FEMORAL EPIPHYSIS

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Presentation transcript:

SLIPPED CAPITAL FEMORAL EPIPHYSIS Salter Harris Type I physeal injury of femoral neck growth plate

Trethowan sign

CONGENITAL DISLOCATION OF HIP

PERKIN’S LINE HILGENREINER’S LINE

Clinical assessment

ORTOLANI AND BARLOW’S TESTS

MANAGEMENT Age < 6 months Abduction orthosis PAVLIK HARNESS VON ROSEN SPLINT

Closed/ Open reduction Age: 6 -3 years

Age: 3 years - 10 years Osteotomies

CTEV

CONGENITAL TALIPES EQUINUS VARUS FRONT VIEW SIDE VIEW REAR VIEW

Ponsetti reports that need for PMSTR is avoided in 95% cases CTEV Ponsetti reports that need for PMSTR is avoided in 95% cases No heel Straight inner border Raised outer border

Lateral Column Shortening DILLWYN-EVANS STR + Calcaneo- Cuboid fusion

Fusion of subtalar, calcaneocuboid & talonavicular joints TRIPLE ARTHRODESIS Fusion of subtalar, calcaneocuboid & talonavicular joints Ultimate salvage procedure Employed in children >10 yrs

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