Paediatric Hip
A 6-year-old boy presents with a 3-month history of right hip pain and intermittent limp. He has no history of trauma or infection. Examination reveals limited hip abduction and internal rotation with a Trendelenburg gait. AP and frog-leg lateral radiographs show increased density of the right femoral epiphysis with a subchondral fracture line (crescent sign). The lateral pillar is involved but maintains more than 50% of its height. Regarding Legg-Calve-Perthes disease:
Mark each as TRUE or FALSE
Legg-Calve-Perthes disease is idiopathic avascular necrosis of the femoral head in children, most co...
The Herring lateral pillar classification (assessed during fragmentation) predicts outcome: Group A ...
Perthes disease is most common in girls; the lateral pillar classification is assessed in the initia...
Prognostic factors include age at onset (younger has better prognosis due to remodeling potential), ...
Treatment principles focus on containment (keeping femoral head within acetabulum during healing) to...
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Click T (True) or F (False) for each option