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Orthopaedics Hip, Spine, Neck, and Shoulder Problems 4ddc4d82

Cause of Coxa vera -

A
Congenital
B
Perthe's disease
C
SCFE
D
All of the above
High-Yield Explanation
Ans. is 4d' i.e., All of the aboveCoxa verao Coxa vera refers to reduced angle between the neck and shaft of the femur,o Coxa vera may be congenital or acquired.Congenital (developmental / Infantile) coxa veraThis is coxa vara resulting from some unknown growth anomaly at the upper femoral epiphysis.It is noticed as a painless limp in a child who has just started walking.In severe cases, shortening of the leg may be obvious.On examination, abduction and internal rotation of the hip are limited and the leg is short.X - rays will show a reduction in neck - shaft angle.The epiphyseal plate may be too vertical.There may be a separate triangle of bone in the inferior portion of the metaphysis, called Fairbanks triangle.Treatment is by a subtrochanteric corrective osteotomy.Aquired coxa-verao Aquired coxa-vera is seen ini) SCFE (slipped capital femoral epiphysis)ii) Sequelae of avascular necrosis of femoral epiphysisLegg-Calve Perthe's diseaseFemoral neck fractureTraumatic hip dislocationPost reduction of CDHSeptic necrosisiii) Associated with pathological bone disordersOsteogenesis imperfectaFibrous dysplasiaOsteopetrosis

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