يعني كلهن صح كتبتهن🤣

Treatment:

1-if early and acute stage

-skin traction with slight hip flexed and external rotation

نبقي 3weeks وراها نكله حاول تحركها👍🏻

2-if late?

Pain control and exercise
-holding hip abduction in pop spika or brace

3-if sever?

Osteotomy of pelvis👍🏻

اعتمدوا على هل treatment✅

الولد اكثر من البنات👍🏻
Left hip more than right
25-40% bilateral 👍🏻

الmcq من الملزمة لشغلات بيور مذاكرتها✅

Clincal sign of slipp is
Increase external rotation as hip is flexed👍🏻

X ray
Early stage? Normal
Lateral view? Posterior femoral bone
Ap view?
Superior border of neck will pas superior to the head(normally pass through head)

Mcq

ممكن يجي كلهن صح واحد خطأ

خلصت✅

هسه تكدرون تعتمدون عليها بصورة كاملة بدون مترجعون للملزمة🥳

اكو شغلة لازم ارجعلها acetabular fracture نسيت اقراها🤣

Acetabular fracture
كلش سهل

1-acetabular wall (roof)fracture

Affect?
Depth of socket
شحيصير؟
Central hip dislocation

2-anterior column fracture

Un common
Not involved weight bearing
Good prognosis

3-posterior columns fracture

Break part of acetabulum(weight bearing)
Posterior hip dislocation +siatic nerve injury

4- transverse fracture

Central hip dislocation

5- complex

ملاحظة:
Limb lie ?
Internal rotation
العلاج؟
ABC
MUA
Longitudenal skeletal traction in lower limb
واذا جان central dislocation?
Lateral traction through greater trochanter 8-12weaks

وراها نحطه على عكازة وراها partial weight bearing
اخر شيء full weight bearing

اذا صاير displaced acetabular fracture?
ORIF
وننطي prophylactic antibiotics
وpartial weight bearing 7 days post operative 👍🏻

Complication?
•

DVT
•Siatic nerve injury
•Heterotypic bone formation(myositis ossification) نعالجة بشنو؟

Indomethacine

•avascular necrosis
•2ry osteoarthritis