developmental

Management 0 - 6 months

Aim

 

To obtain and maintain a concentric reduction without complication

 

Timing

 

0 - 6 /12

- best time for treatment

- maintain reduction of head & allow normal acetabular development

 

Equivocal Hip

 

Obtain ultrasound

 

Graaf 2A and 2B

- Alpha angle 50 - 59o range

- many will resolve without treatment

Coxa Vara

Definition

 

Deformity of proximal femur with neck-shaft angle <125°

 

Characterised by

- coxa vara

- decreased femoral anteversion

- limp / trendelenberg

- stress fractures

- early OA

 

Classification   

 

"ACDDC"

 

Acquired

 

2° to underlying disorder

- rickets