Course book of orthopedic surgery-Regional
5th year theory lectures: Dr.Wahid M. Hassan1-Shoulder disorders:
Anatomy, physiology, examination, pathology(shoulder impingement, rotator cuff tear, frozen shoulder); definition, pathology, clinical presentation, investigation& treatment.
2- Shoulder instability:
Types, definition, pathology, clinical presentation, investigation& treatment.
Elbow, wrist& hand disorders:
Anatomy, physiology, examination, pathology(tennis elbow, tenosynovitis; dequrvains disease, ganglion cyst, carpal tunnel syndrome& trigger finger) ; definition, pathology, clinical presentation, investigation& treatment.
3,4- Hip disorders:
Anatomy, physiology, examination, pathology(developmental dysplasia of hip, slipped capital femoral epiphysis, coxa vara& perthes disease) ; definition, pathology, clinical presentation, investigation& treatment.5- Knee disorders:
Anatomy, physiology, examination, pathology(deformities of the knee; bow leg& knock knee in children, meniscal injury, Osgood schlatters disease); definition, pathology, clinical presentation, investigation& treatment.
6- Ankle& foot disorders:
Anatomy, physiology, examination, pathology(congenital club foot, flat foot, pes cavus, hlux valgus& halux rigidas) ; definition, pathology, clinical presentation, investigation& treatment.
7,8-Spinal disorders:
Anatomy, physiology, examination, pathology(torticollis, intervertebral disc prolaps, spinal stenosis, scoliosis& kypphosis); definition, pathology, clinical presentation, investigation& treatment.
Q Write briefly on the risk factors for the development of delopmental dysplasia of hip.
Answer:
Genetic and ethnic factors.Increased in native Americans but very low in southern Chinese and Africans
positive family history 12-33%
10 times increase risk if affected parent, times increase risk if sibling affected.
intrauterine factors
breech position
oligohydroamnios
neuromuscular conditions like myelomeningocele
high association with intrauterine molding abnormalities including metatarsus adductus and torticollis
first born baby.
female baby ( 80% cases).
left hip more common.