Question 1

Question

A 9-month-old girl is brought by her mother who noticed asymmetric skin folds on the thighs and difficulty abducting the left hip during diaper changes. She was a firstborn, delivered in breech presentation. Examination reveals limited abduction of the left hip to 30 degrees. The pelvis radiograph is shown (Image 1). Which of the following is the most appropriate next step in management?

Accepted Answer

B. Closed reduction under general anaesthesia followed by hip spica casting

Answer

A. Pavlik harness application with ultrasound follow-up at 6 weeks

Answer

C. Open reduction with pelvic osteotomy as primary intervention

Answer

D. Observation and repeat radiograph at 12 months of age

Basic Science in Orthopaedics — MCQs

Basic Science in Orthopaedics — MCQs

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