PEDS240 Lecture Notes - Slipped Capital Femoral Epiphysis, Hip Pointer, Iliac Crest

• School: University of Alberta
• Department: Physical Education and Sport
• Course: PEDS240
• Professor: Brad Kern

Document Summary

Cause of condition: avascular necrosis of the femoral head in child aged 4-10, articular cartilage becomes necrotic and flattens. Signs of coxa plana: pain in groin that can be referred to the abdomen or knee. Limping is also typical: varying onsets and may exhibit limited rom. In most cases it takes a few months for pain to onset. Care: bed rest to reduce chance of chronic condition, brace to avoid direct weight bearing, early treatment and head of femur may reossify and revascularize and hip may become normal again. If not treated early, will result in ill-shaping and osteoarthritis in later life. Signs of a slipped capital femoral epiphysis: pain in groin that comes on over weeks or months, hip and knee pain during passive and active motion; limitations of abduction, flexion, medial rotation and a limp. Management of a slipped capital femoral epiphysis: with minor slippage, rest and non-weight bearing may prevent further slippage, major displacement requires surgery.