Hip Disorders
A 4-year-old girl presents with a painless limp that has been gradually worsening over 6 months. Examination shows a Trendelenburg gait and limited hip abduction. There is apparent limb length discrepancy with no true shortening. X-ray shows neck-shaft angle of 95 degrees with a triangular ossification defect in the inferior femoral neck (Fairbank's triangle). The Hilgenreiner epiphyseal angle measures 70 degrees. Regarding developmental coxa vara:
Mark each as TRUE or FALSE
Developmental (infantile) coxa vara is a progressive decrease in the femoral neck-shaft angle occurr...
Radiographic findings include decreased neck-shaft angle (normal 135 degrees at birth, decreasing to...
Developmental coxa vara presents in adolescence; the primary defect is in the superior femoral neck;...
Clinical presentation includes painless limp (Trendelenburg gait from abductor mechanical disadvanta...
Treatment is determined by HEA and progression: observation for HEA less than 45 degrees with stable...
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Click T (True) or F (False) for each option