Congenital Hip Dislocation (Subscribe)
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Case 1 Hip dislocation in children with Downs
SPONTANEOUS DISLOCATION OF THE HIP IN CHILDREN WITH DOWN SYNDROME
# This is a 3 year old female with Down's Syndrome whose mother noticed clicking in the left hip since age 2. At the age of 4 the patient developed a limp after falling from a bicycle. She is otherwise healthy and started walking at 24 months of age. Other significant medical history includes a recurrent otitis media. # PHYSICAL EXAM: A full range of motion was noted, with instability of the hip. The hip was easily dislocated and reduced. # XRAYS: The pre-operative x-ray, C T scan and operative arthrogram demonstrate the hip subluxated.
# This is a 3 year old female with Down's Syndrome whose mother noticed clicking in the left hip since age 2. At the age of 4 the patient developed a limp after falling from a bicycle. She is otherwise healthy and started walking at 24 months of age. Other significant medical history includes a recurrent otitis media. # PHYSICAL EXAM: A full range of motion was noted, with instability of the hip. The hip was easily dislocated and reduced. # XRAYS: The pre-operative x-ray, C T scan and operative arthrogram demonstrate the hip subluxated.
Case 11. Ischemic Necrosis in DDH.
ISCHEMIC NECROSIS AS A COMPLICATION IN DELVELOPMENTAL DYSPLASIA
This is an 11 months old white male patient who had congenital dislocation of right hip. This was first detected 6 weeks of age. The patient was a breech child delivered by C-section. He is the first child for this 38 year old mother. At 6 weeks of age, he was placed in a Pavlik harness but this treatment was unsuccessful. Closed reduction was performed, but the hip redislocated. He was kept in an Ilfield brace for a short time and then had open reduction followed by 3 months in a spica cast. Following removal of the cast he redislocated again, and at that time the patient was referred to this Institute.
This is an 11 months old white male patient who had congenital dislocation of right hip. This was first detected 6 weeks of age. The patient was a breech child delivered by C-section. He is the first child for this 38 year old mother. At 6 weeks of age, he was placed in a Pavlik harness but this treatment was unsuccessful. Closed reduction was performed, but the hip redislocated. He was kept in an Ilfield brace for a short time and then had open reduction followed by 3 months in a spica cast. Following removal of the cast he redislocated again, and at that time the patient was referred to this Institute.
Childs Hip - Pathologic disorders
Links to notes on
DDH
Effusion - diff. dx
Perthes Disease
Sickle Cell Anemia
Slipped Capital Femoral Epiphysis
Wheeless' Textbook of Orthopaedics
DDH
Effusion - diff. dx
Perthes Disease
Sickle Cell Anemia
Slipped Capital Femoral Epiphysis
Wheeless' Textbook of Orthopaedics
Developmental Dislocation of the Hip Wheeless
DDH involves displacement of the femoral head from the acetabulum (during the perinatal period)
which disrupts the normal development of the hip joint;
- DDH is estimated to occur in 1 - 1.5 cases per 1000 live births;
- when an agressive screening system is in place (including routine use of ultrasound), it is not uncommon to have a prevalence of 5 / 1000 cases;
- in certain sub-populations, such as North American Indians, incidence can be as high as 35/1000.
Wheeless' Textbook of Orthopaedics
- DDH is estimated to occur in 1 - 1.5 cases per 1000 live births;
- when an agressive screening system is in place (including routine use of ultrasound), it is not uncommon to have a prevalence of 5 / 1000 cases;
- in certain sub-populations, such as North American Indians, incidence can be as high as 35/1000.
Wheeless' Textbook of Orthopaedics
Developmental Dysplasia of the Hip eMedicine Orthopedics
Author: James McCarthy, MD, FAAOS 2005
The term congenital dislocation of the hip dates back to the time of Hippocrates. This condition, also known as hip dysplasia or developmental dysplasia of the hip (DDH), has been diagnosed and treated for several hundred years. Most notably, Ortolani, an Italian pediatrician in the early 1900s, evaluated, diagnosed, and began treating hip dysplasia (Ortolani, 1976). Galeazzi later reviewed more than 12,000 cases of DDH and reported the association between apparent shortening of the flexed femur and hip dislocation. Since that time, significant progress has been made in the evaluation and treatment of DDH.
Synonyms and related keywords: DDH, developmental dislocation of the hip, congenital dislocation of the hip, CDH, hip dysplasia, hip subluxation, hip dislocation, teratologic hip dislocation, hip instability, displaced hip, dislocated hip
The term congenital dislocation of the hip dates back to the time of Hippocrates. This condition, also known as hip dysplasia or developmental dysplasia of the hip (DDH), has been diagnosed and treated for several hundred years. Most notably, Ortolani, an Italian pediatrician in the early 1900s, evaluated, diagnosed, and began treating hip dysplasia (Ortolani, 1976). Galeazzi later reviewed more than 12,000 cases of DDH and reported the association between apparent shortening of the flexed femur and hip dislocation. Since that time, significant progress has been made in the evaluation and treatment of DDH.
Synonyms and related keywords: DDH, developmental dislocation of the hip, congenital dislocation of the hip, CDH, hip dysplasia, hip subluxation, hip dislocation, teratologic hip dislocation, hip instability, displaced hip, dislocated hip
Developmental Dysplasia of the Hip Medscape
Developmental dysplasia of the hip (DDH) is a spectrum of anatomical abnormalities of the hip joint in which the femoral head has an abnormal relationship to the acetabulum. The true incidence of DDH can only be estimated because there is no "gold standard" for diagnosis. Most developed countries report an incidence of 1.5 to 20 cases of DDH per 1000 births, depending in part on the methods of screening used.
J Pediatr Health Care. 2008;22(5):318-322. Polina Gelfer, MD, FAAP; Kathleen A. Kennedy, MD, MPH Full text
J Pediatr Health Care. 2008;22(5):318-322. Polina Gelfer, MD, FAAP; Kathleen A. Kennedy, MD, MPH Full text
