Pediatric Hip Examination
What is the importance of the age of hip problems in children?
One of the most important criteria is the age of the patient’s examination of child patients. Seen in certain age groups in certain diseases of the hip joint interests. Patients to learn the age of the patient as well as provides information about whether a developmental delay.
What signs of hip problems seen in children?
The patient’s main complaints are hip pain, inability to walk, fever and swelling can be. How long is important that there is a complaint:
Acute onset of the infection, trauma, cases of reactive synovitis,
Long-standing pain, chronic diseases,
From time to time the (reactive, Perthes disease, rheumatic)
That a certain period of the day (morning, night, post-rheumatic activity, tumoral)
What are the striking findings of the first examination of hip problems in children?
The patient was holding her hip in certain positions to stop.
To hold the hip joint is bent and external rotation in the hip joint does not want to play a collection of fluid-related diseases should be kept in mind that the act for which the fastest is called septic arthritis or inflammation of the hip joint.
Position track error due to septic arthritis in the left hip
Osteomyelitis (bone infection), fractures, soft tissue infection, and examination of the leg hips still holding me want to playback status is observed.
Increased tone, spasticity, shear, involuntary movements suggest the presence of cerebral palsy.
Redness, swelling in the presence of infection, neoplastic condition comes to mind.
Have you seen the brevity of the hip joint?
Brevity, hip dislocation, femoral shortening, caused by dysfunction of the proximal focal development.
Difference is due to the shortness of the knee at the heels combined.
What are the causes painful walk?
Hip dislocation (Trendelenburg gait, and after 1.5 years now walking)
Neuromuscular diseases (Duchenne, subsequently increasing deterioration of poliomyelitis)
Fractures (SCFE, stress fractures, pathological fractures, acute onset)
Perthes Disease (between the ages of 4-10, can be acute or repeated attacks can come up with)
cases are frequently seen. (Hitch-www.serefaktas.com)
How to diagnose hip dislocation is put on physical examination?
Newborn-two months in the Ortolani / Barlow tests and lock it into place with the emergence of the hip joint can be determined. This finding may diagnose the presence of hip dislocation patients. Limitation of the opening of the hips in older children, leg shortening, walking leaning towards dislocations are observed.