5 bones of the pelvis illium, pubis, sacrum, coccyx
imaging of choice for eval complete CT
fractures of pelvis
because the pelvis is a ring, it is commonly fractures in 2 or more places.
frog leg view used in pediatric population to assess for CSFE or Legg Calve Perthes.
to eval hip trauma include AP pelvis, AP/lat of femur and knee
MRI of hip for occult hip fx, AVN, infection
types of hip fractures femoral neck, intertrochanteric, subtrochanteric, femoral shaft
condition of they proximal femoral physis that leads to slippage of the metaphysis
what is slipped capital femoral epiphysis
relative to epiphysis
MC seen in obese adolescent males. hip, groin, thigh, and or knee pain with no hx of
presentation of SCFE trauma. Often have trouble bearing weight. May have external rotation deformity,
shortening and limited ROM on exam.
treatment of SCFE operative. Refer all to pediatric ortho
Legg-Calve-Perthes idiopathic avascular necrosis of the proximal femoral epiphysis.
typically in younger kids. 4-8. insidious onset. May present with limp, secondary to hip,
presentation of Legg-Calve-Perthes
groin, or thigh pain. Exam may review loss of internal rotation and abduction.
risk factors for legg-calve-perthes family dx, low birth weight, secondhand smoke
kids < 8 may be treated non-operatively (observation, non weight bearing, PT). Kids > 8
treatment of legg-calve-perthes
more often need surgery.
pathologic lesion affecting articular cartilage and subchondral bone with variable
what is osteochondritis dissecans
clinical patterns. may be hereditary, traumatic, vascular.
always get what view with osteochondritis tunnel view
disssecans
what is osgood schlatter tractional apophysitis of tibial tubercle.
osgood sclatter MC in boys 12-15. girls 8-12.
RFs for osgood schlatters repetitive jumping (bball, volleyball, high jump), sprinting
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