FNP (Pediatrics Part 2 - Hip pain - Legg-Calve-Perthes Disease)

What plain radiographs would you get for c/o hip pain?

AP X-ray Frog-leg (true lateral view of femur) Gonadal radiation Limit x-rays to suspected: tumors, trauma, Legg-Calve-Perthes, SCFE

What are the presentation/patho of Legg-Calve-Perthes Disease)

Ostenoecrosis of the capital femoral epiphysis due to interrupted vascular supply Ages 3-12 Males > Females Pain to hip or referral to medial aspect of knee (usually present for 2-3 weeks before child complains) Limp

What test would you use to test for Legg-Calve-Perthes Disease?

Trendelenburg's Test Positive Trendelenburg's sign: asking child to stand on affected side causes a pelvic tilt (the unaffected side is lower) Positive in SCFE, Legg-Calve Perthes, and Dev Dysplasia Note: If positive refer to ortho