hip disorders in the pediatric population.

Create a 2 pages page paper that discusses hip disorders in the pediatric population. Basic Assessment Techniques for Hip Dislocation in the Pediatric Population Basic Assessment Techniques for Hip Dislocation in the Pediatric Population

Introduction

Hip dislocation is a common physiological problem in the pediatrics since it develops mostly during the gestation period due to the movement of the fetus in the womb. The problem is rife among children under the age of two years, but it can easily be diagnosed through physical examination at this stage (Byrd, 2012). The practitioners will often ask the parents specific questions to determine the degree of dislocation. Some of the questions include: Does the child feel pain while walking?. Did you encounter any complications during delivery?. and: Does the child find difficulty while walking or standing? There are three main techniques for assessing whether a child is suffering from this complication. They include Ortolani test, Barrow maneuver, and Galeazzi’s test. Hip dislocation is a prevalent physiological problem in the pediatrics, which can develop before, during or after birth, but it can be diagnosed through the Ortolani test, Barrow maneuver, and Galeazzi’s test.

Save your time – order a paper!

Get your paper written from scratch within the tight deadline. Our service is a reliable solution to all your troubles. Place an order on any task and we will take care of it. You won’t have to worry about the quality and deadlines

Order Paper Now

Assessment of Hip Dislocation

Ortolani Test

The Ortolani test is performed by the medical examiner placing his/her hands over the child’s knees with the thumbs on the medial thigh while the rest of the fingers apply some slight pressure on the trochanter area as well as the lateral thigh. With slow abductions being performed on these areas, the dislocated hip will often reduce with a palpable “cluck.” The intensity of instability of the hip is categorized into two depending on the results of the examination. Positive Ortolani is a situation where the hip is dislocated and reducible at the same time. Negative Ortolani implies the hip of the child is dislocated, but it is irreducible (Byrd, 2012).

Barrow Maneuver

Barrow maneuver involves the examiner guiding the child’s hip into a kind of abduction movement by applying some mild force with his/her thumbs. In the event that the bones of the child are not stable, the femoral bone will slide over the rear rim of the acetabulum bone while producing some noticeable sensation of subluxation or dislocation. Relatively, the degree of instability is measured by the results of the test. If a dislocation is evident, then the test can be said to be positive Barrow, but if the hip is characterized by mild instability, that can be termed as a subluxation or rather a negative Barrow test (Godley, 2013).

Galeazzi’s Test

In this case, the child to be examined is made to assume a supine position while his/her legs are bent at ninety degrees with the feet being kept flat over a level surface. The practitioner will examine the child to ascertain any differences between the two knees. If one knee tends to be lower than the other, this is an indication of a dislocation in the lower side of one hip (Byrd, 2012).

It is advisable that new-born babies should be examined through physical techniques rather than using radiographic methods that can affect them. In the event that an examination indicates a positive hip dislocation, the child should be referred to an orthopedic for specialized attention (Byrd, 2012). However, in the case of children aged two years and above, ultrasonography has been found to be the most efficient technique for determining any traces of hip dislocation since the bones around the area have matured and differentiated, making it possible to carry out a medical examination. In children between the ages of 2 and 3 years, Ortolani and Barrow’s maneuver are often less sensible because unilateral dysplasia is present in an asymmetrical manner on the side of the dislocated hip, and thus the legs of the affected children will often turn outside, leaving some gap between the legs. In walking children aged three years and above unilateral dislocation results in the dislocated hip having a shorter leg than the other (Fleisher & Ludwig, 2010).

References

Byrd, J. W. T. (2012). Operative hip arthroscopy. Heidelberg: Springer. Retrieved from http://www.worldcat.org/title/operative-hip-arthroscopy/oclc/811139639/viewport.

Fleisher, G. R., & Ludwig, S. (2010). Textbook of pediatric emergency medicine. Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins Health. Retrieved from http://www.worldcat.org/title/textbook-of-pediatric-emergency medicine/oclc/502393128/viewport.

Godley, D. R. (2013). Assessment, diagnosis, and treatment of developmental dysplasia of the hip. Journal of the American Academy of Physician Assistants, 26(3), 54–58. Retrieved from http://journals.lww.com/jaapa/Abstract/2013/03000/Assessment,_diagnosis,_and_treatment_of.11.aspx.

 

“Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!”

Place your order
(550 words)

Approximate price: $22

Calculate the price of your order

550 words
We'll send you the first draft for approval by September 11, 2018 at 10:52 AM
Total price:
$26
The price is based on these factors:
Academic level
Number of pages
Urgency
Basic features
  • Free title page and bibliography
  • Unlimited revisions
  • Plagiarism-free guarantee
  • Money-back guarantee
  • 24/7 support
On-demand options
  • Writer’s samples
  • Part-by-part delivery
  • Overnight delivery
  • Copies of used sources
  • Expert Proofreading
Paper format
  • 275 words per page
  • 12 pt Arial/Times New Roman
  • Double line spacing
  • Any citation style (APA, MLA, Chicago/Turabian, Harvard)

Our guarantees

Delivering a high-quality product at a reasonable price is not enough anymore.
That’s why we have developed 5 beneficial guarantees that will make your experience with our service enjoyable, easy, and safe.

Money-back guarantee

You have to be 100% sure of the quality of your product to give a money-back guarantee. This describes us perfectly. Make sure that this guarantee is totally transparent.

Read more

Zero-plagiarism guarantee

Each paper is composed from scratch, according to your instructions. It is then checked by our plagiarism-detection software. There is no gap where plagiarism could squeeze in.

Read more

Free-revision policy

Thanks to our free revisions, there is no way for you to be unsatisfied. We will work on your paper until you are completely happy with the result.

Read more

Privacy policy

Your email is safe, as we store it according to international data protection rules. Your bank details are secure, as we use only reliable payment systems.

Read more

Fair-cooperation guarantee

By sending us your money, you buy the service we provide. Check out our terms and conditions if you prefer business talks to be laid out in official language.

Read more