NUR 623 Exam 4 Questions With Complete
Solutions
What are the clinical manifestations of
developmental hip pysplasia?
Imapired mobility
Leg length discrepancy
Positive ortolani/Barlow maneuvers
Unequal gluteal folds/creases
Awkward gait
Pain with ambulation
Galezzi test (discrepant knee height)
What is the treatment plan for developmental hip
dysplasia?
Refer to ortho for a spica cast, pelvic harness or
surgery
This is an infection of the synovial fluid that often
follows a URI but can also be from allergies or
traumatic origin
Toxic Synovitis
,What are the clinical manifestations of toxic
synovitis?
Unilateral hip pain
Limping
Low grade fever (if at all)
Ultrasound (look for effusion)
Negative culture if aspirated
May allow some ROM
What is the treatment plan for toxic synovitis?
Supportive
NSAIDS
Activity as tolerated
Avascular necrosis of the femoral head that occurs
after transient synovitis or trauma
Legg Calve Perthes Disease
What are the clinical manifestations of Leg Calve
Perthes Disease?
Hip/groin pain with weight bearing
,Limitted ROM
Muscle spasms
Leg length discrepancy
What are the diagnostic tests done to rule in leg
calve perthes disease?
X ray of hips in the frog leg position (will show
crescent sign)
CT
What is the treatment plan for Leg Calve Perthes
Disease?
Refer to ortho
Bracing
Home traction
Surgery
This is when the femoral neck slips anteriorly at the
growth plate and the femoral head remains in the
acetabulum
Slipped capital femoral epiphysis
Who is at higher risk for slipped capital femoral
epiphysis?
Overweight male adolescants
, What are the clinical manifestations of slipped
capital femoral epiphysis?
Long term/chronic affected joint pain
Limping
Inability to bear weight
Limited ROM
What is the treatment plan for slipped capital
femoral epiphysis?
Refer to ortho
Avoid weight bearing
Surgery
This is painful swelling of the tibial tubercule
caused by chronic and repetitive knee flexion that
is common during rapid growth
Good Schlatter Disease
What are the clinical manifestations of Good
Schlatter Disease?
Anterior knee pain with activity
Resolves with rest
Solutions
What are the clinical manifestations of
developmental hip pysplasia?
Imapired mobility
Leg length discrepancy
Positive ortolani/Barlow maneuvers
Unequal gluteal folds/creases
Awkward gait
Pain with ambulation
Galezzi test (discrepant knee height)
What is the treatment plan for developmental hip
dysplasia?
Refer to ortho for a spica cast, pelvic harness or
surgery
This is an infection of the synovial fluid that often
follows a URI but can also be from allergies or
traumatic origin
Toxic Synovitis
,What are the clinical manifestations of toxic
synovitis?
Unilateral hip pain
Limping
Low grade fever (if at all)
Ultrasound (look for effusion)
Negative culture if aspirated
May allow some ROM
What is the treatment plan for toxic synovitis?
Supportive
NSAIDS
Activity as tolerated
Avascular necrosis of the femoral head that occurs
after transient synovitis or trauma
Legg Calve Perthes Disease
What are the clinical manifestations of Leg Calve
Perthes Disease?
Hip/groin pain with weight bearing
,Limitted ROM
Muscle spasms
Leg length discrepancy
What are the diagnostic tests done to rule in leg
calve perthes disease?
X ray of hips in the frog leg position (will show
crescent sign)
CT
What is the treatment plan for Leg Calve Perthes
Disease?
Refer to ortho
Bracing
Home traction
Surgery
This is when the femoral neck slips anteriorly at the
growth plate and the femoral head remains in the
acetabulum
Slipped capital femoral epiphysis
Who is at higher risk for slipped capital femoral
epiphysis?
Overweight male adolescants
, What are the clinical manifestations of slipped
capital femoral epiphysis?
Long term/chronic affected joint pain
Limping
Inability to bear weight
Limited ROM
What is the treatment plan for slipped capital
femoral epiphysis?
Refer to ortho
Avoid weight bearing
Surgery
This is painful swelling of the tibial tubercule
caused by chronic and repetitive knee flexion that
is common during rapid growth
Good Schlatter Disease
What are the clinical manifestations of Good
Schlatter Disease?
Anterior knee pain with activity
Resolves with rest
