Journal article
Late developmental dislocation of the hip after initial normal evaluation : A report of five cases
Journal of pediatric orthopaedics, Vol.27(1), pp.32-36
2007
DOI: 10.1097/BPO.0b013e31802b719b
PMID: 17195794
Abstract
Developmental dysplasia of the hip (DDH) denotes a wide spectrum of pathologies ranging from hip instability to frank dislocation. The current understanding is that cases of late diagnosis were missed during the newborn period. However, there is some evidence that a number of hip subluxations or dislocations may have been clinically stable in the neonatal period, but dislocate late. We present 5 cases of otherwise healthy children with normal physical examinations and hip radiographs in the first 3 months of life who later developed hip dislocations. Four of the 5 cases required surgical open reduction. In light of these cases and others in the literature, normal neonatal screening for DDH does not assure that continued normal development of the hip joint will happen. Our study confirms the existence of another entity in the wide spectrum of DDH: the late hip dislocation. Therefore, hip evaluations should be continued beyond the neonatal period until the child begins to walk. Parents should be informed that hip dislocation can occur in a late form, and they should be encouraged to take their children for repeated evaluations even if the neonatal screening is normal.
Details
- Title: Subtitle
- Late developmental dislocation of the hip after initial normal evaluation : A report of five cases
- Creators
- Alfredo RAIMANN - Servicio de Ortopedia y Traumatología Infantil, Hospital Clínico San Borja-Arriarán, Universidad de Chile, Santiago, ChileAlejandro BAAR - Unidad de Ortopedia Infantil, Departamento de Ortopedia y Traumatología Pontificia Universidad Catolica de Chile, Santiago, ChileRoberto RAIMANN - Unidad de Ortopedia y Traumatología Infantil, Clinica Alemana de Santiago, Santiago, ChileJose A MORCUENDE - Department of Orthopaedic Surgery and Rehabilitation, University of Iowa Hospitals and Clinics, Iowa City, IA, United States
- Resource Type
- Journal article
- Publication Details
- Journal of pediatric orthopaedics, Vol.27(1), pp.32-36
- Publisher
- Lippincott; Hagerstown, MD
- DOI
- 10.1097/BPO.0b013e31802b719b
- PMID
- 17195794
- ISSN
- 0271-6798
- eISSN
- 1539-2570
- Language
- English
- Date published
- 2007
- Academic Unit
- Stead Family Department of Pediatrics; Orthopedics and Rehabilitation
- Record Identifier
- 9984040307702771
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