11/03/1411/03/14Professor Freih Abuhassan - University Professor Freih Abuhassan - University

of Jordanof Jordan 11

Pediatric hip Cases

Pediatric hip Cases

F.R.C.S.(Eng.), F.R.C.S.(Tr.& Orth.)Professor of Orthopedics

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Professor Freih Abuhassan - University Professor Freih Abuhassan - University of Jordanof Jordan

11/03/1411/03/14 33Professor Freih Abuhassan - University Professor Freih Abuhassan - University

of Jordanof Jordan

What is your Dx?1

11/03/1411/03/14 44Professor Freih Abuhassan - University Professor Freih Abuhassan - University

of Jordanof Jordan

Rt Thigh and Knee Pain Age: 10-Year Old, Obese

2

11/03/1411/03/14 55Professor Freih Abuhassan - University Professor Freih Abuhassan - University

of Jordanof Jordan

Klein line 11/03/1411/03/14 66Professor Freih Abuhassan - University Professor Freih Abuhassan - University

of Jordanof Jordan

3

11/03/1411/03/14 77Professor Freih Abuhassan - University Professor Freih Abuhassan - University

of Jordanof Jordan

11/03/1411/03/14 88Professor Freih Abuhassan - University Professor Freih Abuhassan - University

of Jordanof Jordan

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of Jordanof Jordan

4

11/03/1411/03/14 1010Professor Freih Abuhassan - University Professor Freih Abuhassan - University

of Jordanof Jordan

6

11/03/1411/03/14 1111Professor Freih Abuhassan - University Professor Freih Abuhassan - University

of Jordanof Jordan

7

11/03/1411/03/14 1212Professor Freih Abuhassan - University Professor Freih Abuhassan - University

of Jordanof Jordan

11/03/1411/03/14 1313Professor Freih Abuhassan - University Professor Freih Abuhassan - University

of Jordanof Jordan

6-year old male who presents with a chief complaint of a limp which began 6 m ago.

=There is a 2 cm LLD. =His Rt thigh is smaller than left.

=There is pain with hip extension and external rotation. 11/03/1411/03/14 1414

Professor Freih Abuhassan - University Professor Freih Abuhassan - University of Jordanof Jordan

11/03/1411/03/14 1515Professor Freih Abuhassan - University Professor Freih Abuhassan - University

of Jordanof Jordan

7-year old male with a history of recurrent pain in his left thigh for three months.

Initially, this pain would awaken him at night

8

11/03/1411/03/14 1616Professor Freih Abuhassan - University Professor Freih Abuhassan - University

of Jordanof Jordan

11/03/1411/03/14 1717Professor Freih Abuhassan - University Professor Freih Abuhassan - University

of Jordanof Jordan

The joint space is slightly widened.

Thickening of the medial cortex of the femoral neck (the calcar(.

Faint oval lucency within the femoral neck. 11/03/1411/03/14 1818Professor Freih Abuhassan - University Professor Freih Abuhassan - University

of Jordanof Jordan

11/03/1411/03/14 1919Professor Freih Abuhassan - University Professor Freih Abuhassan - University

of Jordanof Jordan

11/03/1411/03/14 2020Professor Freih Abuhassan - University Professor Freih Abuhassan - University

of Jordanof Jordan

11/03/1411/03/14 2121Professor Freih Abuhassan - University Professor Freih Abuhassan - University

of Jordanof Jordan

9

11/03/1411/03/14 2222Professor Freih Abuhassan - University Professor Freih Abuhassan - University

of Jordanof Jordan

Who is responsible?11/03/1411/03/14 2323

Professor Freih Abuhassan - University Professor Freih Abuhassan - University of Jordanof Jordan

11/03/1411/03/14 2424Professor Freih Abuhassan - University Professor Freih Abuhassan - University

of Jordanof Jordan

11/03/1411/03/14 2525Professor Freih Abuhassan - University Professor Freih Abuhassan - University

of Jordanof Jordan

10

11/03/1411/03/14 2626Professor Freih Abuhassan - University Professor Freih Abuhassan - University

of Jordanof Jordan

11/03/1411/03/14 2727Professor Freih Abuhassan - University Professor Freih Abuhassan - University

of Jordanof Jordan

11

11/03/1411/03/14 2828Professor Freih Abuhassan - University Professor Freih Abuhassan - University

of Jordanof Jordan

11/03/1411/03/14 2929Professor Freih Abuhassan - University Professor Freih Abuhassan - University

of Jordanof Jordan

11/03/1411/03/14 3030Professor Freih Abuhassan - University Professor Freih Abuhassan - University

of Jordanof Jordan

11/03/1411/03/14 3131Professor Freih Abuhassan - University Professor Freih Abuhassan - University

of Jordanof Jordan

11/03/1411/03/14 3232Professor Freih Abuhassan - University Professor Freih Abuhassan - University

of Jordanof Jordan

A 4 m old female childDx to to have Rt AD

12

11/03/1411/03/14 3333Professor Freih Abuhassan - University Professor Freih Abuhassan - University

of Jordanof Jordan

2 w later 27-2-2001 admitted for Gallows traction.

O/E= Symmetrical creases

= -ve Ortolani, Barlows= Tight adductors

11/03/1411/03/14 3434Professor Freih Abuhassan - University Professor Freih Abuhassan - University

of Jordanof Jordan

EUA dislocatable Rt hipadductor tenotomy.Then 1 week Gallows traction, followed by Hip spica for 3m.

1st Surgeon 12-3-2001

11/03/1411/03/14 3535Professor Freih Abuhassan - University Professor Freih Abuhassan - University

of Jordanof Jordan

19-06-2001

Age: 8m

11/03/1411/03/14 3636Professor Freih Abuhassan - University Professor Freih Abuhassan - University

of Jordanof Jordan

19-06-2001

Age: 8m

11/03/1411/03/14 3737Professor Freih Abuhassan - University Professor Freih Abuhassan - University

of Jordanof Jordan

Another 10w Bacheolar cast.

11/03/1411/03/14 3838Professor Freih Abuhassan - University Professor Freih Abuhassan - University

of Jordanof Jordan

03-10-2001

11.5 mABD

11/03/1411/03/14 3939Professor Freih Abuhassan - University Professor Freih Abuhassan - University

of Jordanof Jordan

03-10-2001

11.5 mADD

11/03/1411/03/14 4040Professor Freih Abuhassan - University Professor Freih Abuhassan - University

of Jordanof Jordan

2nd Surgeon

Rt AVN Plan: -Abduction splint

-See 2m

9-10-2001

11/03/1411/03/14 4141Professor Freih Abuhassan - University Professor Freih Abuhassan - University

of Jordanof Jordan

11/03/1411/03/14 4242Professor Freih Abuhassan - University Professor Freih Abuhassan - University

of Jordanof Jordan

05-08-2002

21m

11/03/1411/03/14 4343Professor Freih Abuhassan - University Professor Freih Abuhassan - University

of Jordanof Jordan

29-09-2002

23m

11/03/1411/03/14 4444Professor Freih Abuhassan - University Professor Freih Abuhassan - University

of Jordanof Jordan

23m

11/03/1411/03/14 4545Professor Freih Abuhassan - University Professor Freih Abuhassan - University

of Jordanof Jordan

24m

11/03/1411/03/14 4646Professor Freih Abuhassan - University Professor Freih Abuhassan - University

of Jordanof Jordan

5-04-200511/03/1411/03/14 4747Professor Freih Abuhassan - University Professor Freih Abuhassan - University

of Jordanof Jordan

11/03/1411/03/14 4848Professor Freih Abuhassan - University Professor Freih Abuhassan - University

of Jordanof Jordan

4th Surgeon

Needs valgus osteotomy + Ilizarov

11/03/1411/03/14 4949Professor Freih Abuhassan - University Professor Freih Abuhassan - University

of Jordanof Jordan

7-11-200511/03/1411/03/14 5050Professor Freih Abuhassan - University Professor Freih Abuhassan - University

of Jordanof Jordan

5th surgeon

Percutaneous valgus osteotomy

11/03/1411/03/14 5151Professor Freih Abuhassan - University Professor Freih Abuhassan - University

of Jordanof Jordan

11/03/1411/03/14 5252Professor Freih Abuhassan - University Professor Freih Abuhassan - University

of Jordanof Jordan

11/03/1411/03/14 5353Professor Freih Abuhassan - University Professor Freih Abuhassan - University

of Jordanof Jordan