Pediatric Nontraumatic Hip Pathology

Neville, Desiree N; Zuckerbraun, Noel S.

doi:10.1016/j.cpem.2016.01.005

Cited by 4 publications

(18 citation statements)

References 94 publications

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“…This ossification usually occurs in females aged between 14 and 20 years and between 15 and 21 years in males (Staheli, 2016). The proximal femoral physis is a vulnerable region as it is nourished by a fragile blood supply and is an area of rapid cellular proliferation, vulnerable to instability, particularly during the hormonal changes of puberty (Neville & Zuckerbraun, 2016). The femoral head and proximal femur are especially susceptible to injury, especially when excessive mechanical loading is present or high shear forces occur (Staheli, 2016).…”

Section: Pathophysiologymentioning

confidence: 99%

“…When the provider passively flexes the patient's hip, they will compensate with external rotation (Peck et al, 2017). Patients may also have external foot rotation, weak hip abduction, decreased hip flexion, and decreased internal rotation and can develop a flexion contracture over time (Neville & Zuckerbraun, 2016). These physical examination findings should increase the provider's suspicion of SCFE, especially if the chief complaint is hip, thigh, knee, or groin pain.…”

Section: Physical Examinationmentioning

confidence: 99%

“…The Table reviews the lists of conditions that often present similarly as a patient with an SCFE (Peck et al, 2017). Other nontraumatic hip disorders include osteomyelitis and arthritis caused by Lyme disease (Neville & Zuckerbraun, 2016).…”

Section: Differential Diagnosismentioning

confidence: 99%

“…This disease presents most commonly in boys between the ages of 4 and 8 years but can occur in any stage of skeletal development once the patient begins to ambulate (Staheli, 2016). The patient will present similarly to SCFE but is more likely to present with Trendelenburg's gait and limited abduction and internal rotation (Neville & Zuckerbraun, 2016). On imaging, there will be changes or deformities in the femoral head and may require an MRI to establish blood flow and sphericity changes, with the primary goal being the prevention of osteoarthritis (Neville & Zuckerbraun, 2016).…”

Section: Legg-calve-perthes Diseasementioning

confidence: 99%

“…The patient will often report no certain mechanism of injury or may report a recent minor trauma that would not be considered significant enough to consider a fracture. The patient will typically present with progressive unilateral pain and limping (Neville & Zuckerbraun, 2016;Peck et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

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Slipped Capital Femoral Epiphysis: Early Intervention and Referral

Duncan¹,

Temples²

2021

Journal of Pediatric Health Care

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To obtain continuing education credit: 1. Read the article carefully. 2. Read each question and determine the correct answer. 3. Visit PedsCE SM , ce.napnap.org, to complete the online Posttest and evaluation. 4. You must receive 70% correct responses to receive the certificate. 5. Tests will be accepted until XXX. OBJECTIVES 1. Describe the clinical presentation of a slipped capital femoral epiphysis. 2. Identification of the at-risk population for a slipped capital femoral epiphysis. 3. Explain the evaluation techniques to make an accurate and timely diagnosis. 4. Identify the importance of treatment and referral as it relates to the prognosis for the patient. 5. State the potential differential diagnoses involved with pediatric hip pathology. Posttest Questions Contact hours: 0.75 Passing score: 70%This continuing education activity is administered by the National Association of Pediatric Nurse Practitioners (NAPNAP) as an Agency providing continuing education credit. Individuals who complete this program and earn a 70% or higher score on the Posttest will be awarded 0.75 contact hours.

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Section: Pathophysiologymentioning

confidence: 99%

Section: Physical Examinationmentioning

confidence: 99%

Section: Differential Diagnosismentioning

confidence: 99%

Section: Legg-calve-perthes Diseasementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Slipped Capital Femoral Epiphysis: Early Intervention and Referral

Duncan¹,

Temples²

2021

Journal of Pediatric Health Care

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Pediatric Hip Pain

Williams

Chidomere

Tow

2022

A Case-Based Approach to Hip Pain

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A Comparison Between 3 Functional Hip Scores for Evaluation of the Pediatric Hip

Huebschmann

Masrouha

Dib

et al. 2023

Journal of Pediatric Orthopaedics

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Background: This investigation aimed to determine the degree of correlation among 3 functional scales for evaluating the hip in pediatric patients and determine the correlation between measures of global function and outcome. Methods: We performed a prospective study of 173 consecutive patients (Mage = 13 ± 3 y) being followed for developmental dysplasia of the hip (n = 122, 71%), slipped capital femoral epiphysis (n = 31, 18%), or Legg-Calve-Perthes disease (n = 20, 12%). We evaluated patients clinically, and we compiled scores for the Iowa Hip Score (IHS), Harris Hip Score (HHS), and Children’s Hospital Oakland Hip Evaluation Scale (CHOHES). Patients concomitantly completed the Pediatric Outcomes Data Collection Instrument (PODCI) at the same clinic visit. We assessed Global Functioning Scale the and the Sports and Physical Functioning Core Scale of the PODCI. We determined the degree of correlation between the functional hip scales and between each scale and the PODCI scales using Spearman rank correlation coefficients. Results: The correlations between the IHS, HHS, and CHOHES scores were robust (IHS and HHS ρ = 0.991; IHS and CHOHES ρ = 0.933; HHS and CHOHES ρ = 0.938; all P < 0.001). The correlation between the Global Functioning Scale of the PODCI and the 3 hip scores was ρ = 0.343 for the IHS, ρ = 0.341 for the HHS, and ρ = 0.352 for the CHOHES (all P < 0.001). The correlation between the sports and physical functioning core scale of the PODCI and the 3 hip scores was ρ = 0.324 for the IHS, ρ = 0.329 for the HHS, and ρ = 0.346 for the CHOHES (all P < 0.001). Conclusions: In a pediatric population with diverse hip pathology, there was a very strong correlation between scores on the IHS, HHS, and CHOHES. However, none of these 3 most commonly used hip scores correlated strongly with the global functioning scale or sports and physical functioning core scale of the PODCI. The most frequently used scores to determine the outcome of pediatric patients with hip pathology correlate strongly with each other but do not necessarily relate to global functional results. Level of Evidence: Level IV.

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Pediatric Nontraumatic Hip Pathology

Cited by 4 publications

References 94 publications

Slipped Capital Femoral Epiphysis: Early Intervention and Referral

Slipped Capital Femoral Epiphysis: Early Intervention and Referral

Pediatric Hip Pain

A Comparison Between 3 Functional Hip Scores for Evaluation of the Pediatric Hip

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