RCPSC Orthopedic Surgery Practice Questions - Royal College Certification Examination In Orthopedic Surgery Exam

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A 2-month-old female with confirmed developmental dysplasia of the hip (DDH) is placed in a Pavlik harness. Two weeks later, she presents with an inability to actively extend the knee on the affected side. What is the most likely complication and the initial management?

Femoral nerve palsy; temporarily discontinue the harness or decrease the flexion angle Sciatic nerve palsy; increase the abduction angle to relieve tension Avascular necrosis of the femoral head; immediately discontinue the harness Obturator nerve palsy; increase flexion to decrease nerve tension

Correct Answer:

Femoral nerve palsy; temporarily discontinue the harness or decrease the flexion angle

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