1. Freih Odeh AbuHassanFreih Odeh AbuHassan,
F.R.C.S.(Eng.), F.R.C.S.(Tr.& Orth.)( g ), ( )
Professor of Orthopedics
University of Jordan
1/19/2011 1Professor Freih Abuhassan -
University of Jordan
5. L t d i ti t f th= Lat. deviation or curvature of the
spinep
= G > Boys
= Uknown cause
St t l St t l= Structural or non Structural
1/19/2011 5Professor Freih Abuhassan -
University of Jordan
6. • Non Str ct ral• Non Structural
– Poor posturePoor posture
– LLD
– Disc
• Structural• Structural
– CONGENITALCONGENITAL
– IDIOPATHIC
– N.M
1/19/2011 6Professor Freih Abuhassan -
University of Jordan
17. Brachial plexus injuryac a p e us ju y
1/19/2011 17Professor Freih Abuhassan -
University of Jordan
18. * 2 per 1000 Live birth* 2 per 1000 Live birth
* 80 - 90 % Spontanous improvep p
* Increasing > birth wt.
*S*Surgery
if biceps not recovered by 3 mif biceps not recovered by 3 m
1/19/2011 18Professor Freih Abuhassan -
University of Jordan
25. Causes of DDHCauses of DDHCauses of DDHCauses of DDH
* Li t l it H* Li t l it H* Ligaments laxity : Horm.* Ligaments laxity : Horm.
* Mal position : Extended Br* Mal position : Extended Br* Mal position : Extended Br.* Mal position : Extended Br.
* Genetic.* Genetic.Genetic.Genetic.
* Post natal.* Post natal.
1/19/2011 25Professor Freih Abuhassan -
University of Jordan
26. Risk factors for DDHRisk factors for DDHRisk factors for DDHRisk factors for DDH
11.. FFemaleemale
22.. FFamily historyamily history
FF33.. FFirst bornirst born breech.breech.
44.. FFeet def. : C.Valgus.eet def. : C.Valgus.44.. FFeet def. : C.Valgus.eet def. : C.Valgus.
55.. FFull term or Premature.ull term or Premature.
66.. FFaulty habitsaulty habits
1/19/2011 26Professor Freih Abuhassan -
University of Jordan
29. Diagnosis of DDHDiagnosis of DDHDiagnosis of DDHDiagnosis of DDH
*<*< 33m.m.
-- Clunk sign of Ortolani.Clunk sign of Ortolani.
** 33 1212 monthsmonths33 --1212 months.months.
-- Limited abduction.Limited abduction.
S iS i-- Shortening.Shortening.
** AfterAfter 1212 months.months.
-- Limping.Limping. -- Shortening.Shortening.
1/19/2011 29Professor Freih Abuhassan -
University of Jordan
33. Investigation for DDHInvestigation for DDHInvestigation for DDHInvestigation for DDH
# Ult d ft# Ult d ft 99 kk# Ultrasound after# Ultrasound after 99 weeks.weeks.
# X# X--ray afterray after 33--44 monthsmonths## ay a teay a te 33 o t so t s
-- AbductionAbduction 3030 degree.degree.
-- IRIR 1515 degree.degree.
1/19/2011 33Professor Freih Abuhassan -
University of Jordan
40. LEGGLEGG CALVE’CALVE’ PERTHE’SPERTHE’SLEGGLEGG -- CALVE’CALVE’ -- PERTHE’SPERTHE’S
AVN h d f th f= AVN head of the femur
= Children bet 2 13 Y= Children bet. 2-13 Y
= Presentation= Presentation
Pain in the groin thigh kneePain in the groin, thigh, knee
1/19/2011 40Professor Freih Abuhassan -
University of Jordan
46. P t tiP t tiPresentationPresentation
Painful hipPainful hip ------Painful kneePainful knee
Affects adolescentsAffects adolescents
–– Boys are affected twice as girlsBoys are affected twice as girls–– Boys are affected twice as girlsBoys are affected twice as girls
–– Bilateral inBilateral in 3030%%
–– AetiologyAetiology
Hormonal imbalanceHormonal imbalance••Hormonal imbalanceHormonal imbalance
••TraumaTrauma
1/19/2011 46Professor Freih Abuhassan -
University of Jordan
65. •• Incidence:Incidence: 11 inin 10001000
M l t f l tiM l t f l ti 22 11•• Male to female ratioMale to female ratio 22::11
Bil t l iBil t l i 11//33 ff•• Bilateral inBilateral in 11//33 of casesof cases
1/19/2011 65Professor Freih Abuhassan -
University of Jordan