1. THE LIMPING CHILD
SUMMARY OF ORTHOPAEDIC PAEDIATRIC CONDITIONS

2. DEVELOPMENTAL DYSPLASIA OF HIP
 RISK FACTORS: BREECH, FAMILY HISTORY, FEMALE
 TESTS: EXAMINE (BARLOW, ORTOLANI), USS, XRAY
 MANAGEMENT:
1. 0-3 MONTHS: PAVLIK HARNESS
2. 3-12 MONTHS: PLASTER CAST
3. OLDER THAN 12 MONTHS: OPEN REDUCTION SURGERY

3. PERTHE’S
 NECROSIS OF FEMORAL HEAD
 COMMON IN BOYS
 AGE RANGE: 4-8 YEARS
 THE CHILD IS LIMPING
 DIAGNOSIS: X-RAY
 MANAGEMENT: BED REST, PAINKILLERS, BRACE/SPLINT, SURGERY

4. SLIPPED UPPER FEMORAL EPIPHYSIS
 OBESE, BOYS
 AGE: 12-15
 SHORT LEG, EXTERNAL ROTATION, PAIN, LIMP
 DIAGNOSIS: X-RAY
 MANAGEMENT: PAINKILLERS, BED REST, SURGICAL CORRECTION

5. CONGENITAL TALIPES EQUINOVARUS
 COMMON IN BOYS
 DIAGNOSIS: UNBORN-ULTRASOUND, BIRTH-EXAMINATION
 TREATMENT INVOLVES USING STRETCHES OR SURGERY (PONSETI
METHOD, ACHILLES TENDON SURGERY, APPROPRIATE SHOES)