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University of Debrecen
Department of
Orthopaedic Surgery
Transient synovitis of the hip joint
Perthes’ disease
Slipped capital femoral epiphysis
Coxa vara
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Transient synovitis of the hip joint
• 2-14 years of age
• male : female = 1:1
• sudden
hip/thigh/knee pain
• previous upper
airway infection
• non purulent coxitis
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Transient synovitis of the hip joint
Differential diagnosis from purulent arthritis:
• NO FEVER
• CRP
Treatment:
• Non-steroid anti-inflammatory drug
• Rest
Follow up:
X-ray 3 months later => Perthes’ disease
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Legg-Calve-Perthes’ disease
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Legg-Calve-Perthes’ disease
Boston, USA Berck, France Tübingen, Germany
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Legg-Calve-Perthes’ disease
• 3-13 years of age
• incidence: 0,1-1%
• male : female = 3:1
• 15% bilateral
• duration: 3-5 years
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Legg-Calve-Perthes’ disease
• intermittent pain
• decreased internal rotation
(abduction, extension)
• muscle atrophy
• leg length discrepancy
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Early stage
• no X-ray sign
• wider joint space medially
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Sclerotic stage
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Fragmentation
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End stage
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End stage
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Catterall’s classification
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Herring’s lateral pillar classification
100%
>50%
<50%
A
B
C
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Slipped capital femoral epiphysis
• acute
• chronic
• acute on chronic
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Slipped capital femoral epiphysis
• 10-15 years of age
• male : female = 2:1
• 75% chronic
• knee/thigh/hip pain!
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Slipped capital femoral epiphysis
Drehmann’s sign
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Coxa vara infantum (congenita)
• Decreased collo-diaphyseal angle
• Abbreviation of the leg
• Congenital but recognised only at the age of
3-4 years of age
• Rare
• Progressive
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University of Debrecen
Department of
Orthopaedic Surgery
Osteoarthritis of the hip. Aseptic necrosis of the femoral head.
Replacement of joints.
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ORDER OF VERBAL EXAMS
The students are able to register for the exam on the NEPTUN system. The students pick two titles, from the title list available at the beginning of the Semester. This list can be also found on the web site of the Orthopaedic Department.
Those students who attended at least 70 % of the lectures will pick two titles, but will only be examined on the one of their choice.
In case of a B or C exam the student is not entitled to the above advantage.
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