🦴 Chapter 719 · The Hip

Nelson Textbook of Pediatrics 22nd Edition | DDH: Barlow/Ortolani maneuvers, Pavlik harness, hip ultrasound. Transient synovitis: most common cause of hip pain in young children, diagnosis of exclusion, rule out septic arthritis. Legg-Calvé-Perthes: AVN of femoral head, lateral pillar classification, containment treatment. SCFE: obese adolescent, in situ pinning, contralateral prophylaxis controversial.

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📋 30 Clinical Scenarios — Hip Disorders

📇 High‑Yield Review Cards

🩺 Clinical Recognition: Hip Pathology

Select a presentation to review diagnostic clues and management per Nelson Ch 719.

📋 Stepwise Management of Hip Disorders

🔑 Key Principles — Nelson Chapter 719
• DDH: Newborn screening (Barlow/Ortolani). Pavlik harness if positive or dysplastic. Hip ultrasound at 6 weeks for at-risk infants.
• Transient synovitis: Diagnosis of exclusion. ESR/CRP normal or mild elevation. Hip aspiration if septic arthritis suspected.
• Legg-Calvé-Perthes: Age 4-8 years, male predominance. Lateral pillar classification (A, B, C). Containment (bracing/osteotomy) for B/C.
• SCFE: Obese adolescent, knee pain referral. Frog-leg lateral radiograph diagnostic. In situ pinning. Contralateral prophylaxis controversial.

    ⚡ Reflex Prompts — Clinical Decisions

    📖 Summary: The Hip (Nelson 719)