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SLIPPED CAPITAL FEMORAL EPIPHYSIS

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Presentation on theme: "SLIPPED CAPITAL FEMORAL EPIPHYSIS"— Presentation transcript:

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

2 Trethowan sign

3 CONGENITAL DISLOCATION OF HIP

4

5 PERKIN’S LINE HILGENREINER’S LINE

6 Clinical assessment

7 ORTOLANI AND BARLOW’S TESTS

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

9 Closed/ Open reduction
Age: 6 -3 years

10 Age: 3 years - 10 years Osteotomies

11 CTEV

12 CONGENITAL TALIPES EQUINUS VARUS
FRONT VIEW SIDE VIEW REAR VIEW

13

14

15 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

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

17 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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