Última revisão: 5 Nov 2021
Última atualização: 30 Mar 2021

Resumo

Definição

História e exame físico

Principais fatores diagnósticos

  • presença de fatores de risco
  • peso (percentil >90)
  • marcha com a perna afetada rotacionada externamente

Outros fatores diagnósticos

  • dor na virilha ou no joelho
  • dor bilateral no quadril
  • marcha de Trendelenburg
  • amplitude de movimentos limitada
  • peso (percentil <50)
  • sintomas de hipotireoidismo ou pan-hipopituitarismo
  • insuficiência renal
  • trauma recente

Fatores de risco

  • puberdade
  • obesidade
  • sexo masculino
  • endocrinopatias
  • ascendência
  • região geográfica
  • radioterapia anterior

Investigações diagnósticas

Primeiras investigações a serem solicitadas

  • radiografias anteroposteriores bilaterais
  • radiografias laterais com as pernas em posição de rã

Investigações a serem consideradas

  • perfil metabólico
  • testes de função tireoidiana (dosagem sérica)
  • hormônio do crescimento sérico

Algoritmo de tratamento

Colaboradores

Autores

Randall T. Loder, MD

George J. Garceau Professor of Pediatric Orthopaedic Surgery

Indiana University School of Medicine

Indianapolis

IN

Declarações

RTL is on the editorial board of JPO and JCO. He has provided expert testimony regarding slipped capital femoral epiphysis and received book royalties. RTL is an author of a number of references cited in this topic.

Agradecimentos

Dr Randall T. Loder would like to gratefully acknowledge Dr John M. Flynn, Dr Purushottam A. Gholve, Dr Danielle B. Cameron, and Dr Patrick O'Toole, previous contributors to this topic. JMF, PAG, DBC, and PO declare that they have no competing interests.

Revisores

James McCarthy, MD, FAAOS, FAAP

Associate Professor

Department of Orthopedics and Rehabilitation

University of Wisconsin School of Medicine and Public Health

Madison

WI

Declarações

JM declares that he has no competing interests.

D. Philip Thomas, MB, BS, FRCS

Consultant Orthopaedic Surgeon and Honorary Lecturer

University Hospital of Wales

Cardiff

UK

Declarações

DPT declares that he has no competing interests.

Nicholas M. Clarke, ChM, FRCS

Professor

Consultant Orthopaedic Surgeon

Developmental Origins of Health and Disease (DOHaD)

School of Medicine

University of Southampton

Southampton

UK

Declarações

NMC has received honoraria for visiting professorships in North America and also for lectures in respect of congenital hip dysplasia. He is also a founding member of the International Hip Dysplasia Institute, which has received charitable funding.

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