CONGENITAL DISLOCATION OF THE HIP

PEDIATRICS ◽  
1952 ◽  
Vol 9 (1) ◽  
pp. 94-100
Author(s):  
L. G. PRAY
Keyword(s):  
Hip Dysplasia ◽  
Effective Means ◽  
Clinical Signs ◽  
Hip Dislocation ◽  
Signs And Symptoms ◽  
Congenital Dislocation ◽  
Congenital Hip Dysplasia ◽  
Hip Abduction ◽  
Treat All ◽  
Dislocation Of The Hip

Limited hip abduction, when present, is a valuable early sign of congenital hip dysplasia. Other signs and symptoms should be looked for. Confirmation by roentgenographic studies should be sought in all patients. Roentgen changes may be equivocal or lacking during the first three months of life in patients with hip dysplasia. The Frejka pillow splint is a convenient and effective means of treating hip dysplasia or subluxation in early infancy. It is as effective as a cast during this period, and is cleaner and more comfortable. It would seem that a high percentage of cases of congenital hip dysplasia recover spontaneously. However, in view of the seriousness of hip dislocation and the value of early treatment of hip dysplasia, it seems best to treat all infants with clinical signs of this disease.

Congenital Dislocation of Hip

PEDIATRICS ◽  
1952 ◽  
Vol 10 (4) ◽  
pp. 512-512
Keyword(s):  
Hip Dysplasia ◽  
Weight Bearing ◽  
Hip Dislocation ◽  
Congenital Dislocation ◽  
Congenital Hip Dislocation ◽  
Orthopedic Surgeon ◽  
Dislocation Of The Hip ◽  
Comprehensive Discussion

This monograph presents a comprehensive discussion of all aspects of congenital hip dislocation, and constitutes valuable reading for both pediatrician and orthopedic surgeon. The author is well qualified to write such a book; he was associated with Lorenz for many years in Vienna, and was his successor at the Orthopedic University Clinic there. Hass classifies congenital dislocation of the hip in 3 categories: (1) Typical, in which hip dysplasia is present at or before birth and is followed in some cases by dislocation after weight-bearing begins.

scholarly journals Congenital Hip Dislocation with a Genu Recurvatum in Togo: A Case Report

2021 ◽  
Vol 4 (1) ◽  
pp. 72-76
Author(s):  
Agbeko FY ◽  
Fiawoo M ◽  
Djomaleu RA ◽  
NZonou M ◽  
Talboussouma S ◽  
...  
Keyword(s):  
Hip Dislocation ◽  
Black Population ◽  
Lower Limbs ◽  
Sub Saharan Africa ◽  
Congenital Dislocation ◽  
Congenital Hip Dislocation ◽  
Genu Recurvatum ◽  
Ultrasound Of The Hip ◽  
The Right ◽  
Dislocation Of The Hip

Introduction: CHD is a condition, which is frequent in pediatrics in the Caucasian population, remains rare in the Black population, and exceptional in sub-Saharan Africa. The Patient: We report this first Togolese case of bilateral congenital dislocation of the hip associated with genu recurvatum observed in a newborn received on the second day of life. The Primary Diagnoses, Interventions, and Outcomes: The pediatric examination had noted extension of lower limbs. The thighs were in adduction with a stiff bilateral genu recurvatum. The abduction of the thighs on the pelvis was considerably limited. The Barlow and Ortolani maneuvers showed a protrusion. There was also a camptodactyly of the thumbs and a cleft palate. The rest of the examination was normal. Ultrasound of the hip showed a bilateral congenital dislocation of the hip with an estimated acetabular fundus of 7 mm on both the right and left sides. Ultrasound and radiography of the knees were normal. Conclusion: Clinical examination at birth is the key step in diagnosis of congenital hip dislocation. In situations where diagnosis is difficult, ultrasound is of capital importance. Treatment is in the majority of cases orthopedic.

scholarly journals Surgical management of the congenital dislocation of the knee and hip in children presented after six months of age

2020 ◽  
Vol 44 (12) ◽  
pp. 2635-2644
Author(s):  
Amrath Raj B.K. ◽  
Kumar Amerendra Singh ◽  
Hitesh Shah
Keyword(s):  
Knee Flexion ◽  
Hip Dislocation ◽  
Congenital Dislocation ◽  
Hip Joints ◽  
Surgical Interventions ◽  
Joint Dislocation ◽  
Spontaneous Reduction ◽  
Ligamentous Laxity ◽  
Rare Congenital Disorder ◽  
Dislocation Of The Hip

Abstract Purpose Congenital dislocation of the knee and hip is a rare congenital disorder. The specific aim of the study was to evaluate the clinical and radiological outcomes of the children with congenital dislocation of the knee and hip who presented after six months of age. Methods All the consecutive children with congenital dislocation of the knee and hip joints were retrospectively reviewed. We included cases that were treated after six months of age and followed up for a minimum of two years. Twenty-four children with congenital dislocation of the knee and hip (thirteen with ligamentous laxity, eleven children with stiff joints) were included. The knee was dislocated in 45 limbs; the hip was dislocated in 40 instances. The knee joint dislocation was treated with quadricepsplasty in all twenty-four children (45 knees). The hip dislocation (n = 32) was addressed with either closed reduction (n = 8) or open reduction of the hip (n = 24). Eight hip dislocations were not addressed. The outcome of the hip and knee was evaluated. Results The clinical and radiological outcomes were better in children with ligamentous laxity than without laxity. Twenty-two children were community walkers. An orthosis was needed in eight children. The frequency of spontaneous reduction of unreduced dislocation of the hip was noted in three children (5/8 hips). Conclusion Outcome in combined dislocation of knee and hip is good in most cases with surgical interventions. The outcome is better in children with ligamentous laxity. Spontaneous reduction of the dislocated hips might be achieved after gaining knee flexion following knee surgery for congenital the knee in a few cases.

CURRENT CONCEPTS IN DIAGNOSIS AND MANAGEMENT OF CONGENITAL DISLOCATION OF THE HIP

PEDIATRICS ◽  
1964 ◽  
Vol 34 (4) ◽  
pp. 554-557
Author(s):  
Frederic N. Silverman
Keyword(s):  
Femoral Head ◽  
Clinical Signs ◽  
Adult Life ◽  
Extensive Study ◽  
Congenital Dislocation ◽  
Older Children ◽  
Aseptic Necrosis ◽  
Medical Centers ◽  
Orthopedic Surgeons ◽  
Dislocation Of The Hip

MANY OF US whose formal medical education was obtained more than ten years ago may, as a result, approach the problem of congenital dislocation of the hip (hereafter CDH) with concepts whic could profitably be abandoned. In many medical centers, CDH has been considered a consequence of failure of development of the acetabulum (acetabular dysplasia). It was usually recognized in the infant around the time of standing or walking, confirmed by radiologic examination, and treated by various types of restraining apparatus designed to replace the dislocated femoral head in proper relationship to the acetabular cavity, and to maintain it there for a period of months at least. The management in older children required hospitalizations for prolonged traction , forceful manipulation and plaster casts, radiographs, and changes of casts. And, in as many as 30% of the children, the involved hip, even if replaced, failed to develop properly so that aseptic necrosis of the femoral head (Legg-Calve-Perthe's disease) occurred and osteo-arthritis was frequent in adult life. Early diagnosis and treatment has been the goal of orthopedic surgeons for at least the last 30 years. Pediatricians have been instructed to look for abnormal body contours, shortening of a lower extremity, asymmetrical skin folds in groins and thighs, and limitation of motion of the involved hip. When any of these still useful clinical signs were observed, radiographs of the hips were requested for measurements of acetabular angles. In 1956, Coleman and Caffey independently challenged the validity of the available "standards" for acetabular angles, some of which were based on measurements from as few as 23 children. Caffey's report is the most extensive study to date and the most reliable statistically.

scholarly journals Osteopathic Evaluation and Treatment of Hip Dysplasia and Congenital Dislocation of the Hip in Infants Under 6 Months of Age in Orthopedic Clinic

2015 ◽  
pp. 15-24 ◽  
Author(s):  
D. . Mokhov ◽  
E. . Shiryaeva ◽  
O. . Stamboltsyan ◽  
V. . Stamboltsyan
Keyword(s):  
Hip Dysplasia ◽  
Integrated Treatment ◽  
Medical Examination ◽  
Control Group ◽  
Congenital Dislocation ◽  
Complex Treatment ◽  
Osteopathic Treatment ◽  
Experimental Group ◽  
Dislocation Of The Hip

This article contains the results of medical examination and treatment of 54 infants with hip dysplasia and congenital dislocation of the hip. The aim of the study was to increase the efficiency of treatment with using osteopathic therapy. In the experimental group the orthopedic complex treatment included the osteopathic treatment. The patients of the control group didn’t receive osteopathic treatment. The study showed that the osteopathic treatment is effective and can be used as a part of the integrated treatment.

scholarly journals CONSERVATIVE TREATMENT OF HIP DYSPLASIA

2014 ◽  
Vol 2 (4) ◽  
pp. 51-60 ◽  
Author(s):  
Mikhail Mikhailovich Kamosko ◽  
Mahmoud Stanislavovich Poznovich
Keyword(s):  
Conservative Treatment ◽  
Hip Dysplasia ◽  
Acetabular Dysplasia ◽  
Modern Medicine ◽  
Severe Form ◽  
Careful Study ◽  
Congenital Dislocation ◽  
Treatment Principles ◽  
The Subject ◽  
Dislocation Of The Hip

Hip dysplasia in children is the subject of careful study by specialists both in our country and abroad. There are three basic variants of hip dysplasia: congenital acetabular dysplasia, congenital subluxation of the hip and congenital dislocation of the hip. However, treatment of congenital dislocation of the hip, which is the most severe form of hip dysplasia in children, currently remains one of the topical problems of children’s orthopedics, despite the significant achievements of modern medicine. In spite of the large amount of research in this field, treatment principles of hip dysplasia are still under discussion.

scholarly journals Treatment of congenital dislocation of the hip in young children Jaeger (Surg. Gyn. A. Obst. V. 50, No. 4)

2021 ◽  
Vol 32 (8-9) ◽  
pp. 786-786
Author(s):  
I. Tsimkhes
Keyword(s):  
Young Children ◽  
Successful Treatment ◽  
Hip Dislocation ◽  
Congenital Dislocation ◽  
Glenoid Cavity ◽  
Congenital Hip Dislocation ◽  
Dislocation Of The Hip

Jaeger (Surg. Gyn. A. Obst. V. 50, No. 4) gives 2 cases of successful treatment of congenital hip dislocation in young children. In contrast to the generally accepted late reduction, when the deformation of the glenoid cavity has already gone far, the author proposes to set it early.

scholarly journals Features rehabilitation of infants with congenital hip dislocation on the stages of conservative treatment

2015 ◽  
Vol 3 (2) ◽  
pp. 66-70
Author(s):  
Sergei Yurievich Voloshin ◽  
Ekaterina Anatolevna Belousova
Keyword(s):  
Conservative Treatment ◽  
Hip Dislocation ◽  
Late Complications ◽  
First Year ◽  
Congenital Dislocation ◽  
Anatomical Structures ◽  
Complete Restoration ◽  
Orthopedic Diseases ◽  
First Year Of Life ◽  
Dislocation Of The Hip

Congenital dislocation of the hip is one of the most common diseases in children leading to disability, which is difficult to diagnose in the first days of life. In the structure of congenital orthopedic diseases congenital dislocation of the hip holds one of the first places. This determines the importance and urgency of the problem, as the most complete restoration of anatomical structures and functions of the hip joint in children occurs in the early diagnosis and comprehensive, timely begun treatment. Rehabilitation of children in the first year of life should be early, systematic, comprehensive and differentiated. Technique of rehabilitation stages conservative treatment includes: wearing functional tires, gymnastics, massage, physiotherapy, therapeutic swimming. This prevents the progression of the disease, the development of early and late complications, does not violate the static-dynamic functions without delay verticalization.

Early signs of congenital dislocation of the hip

JAMA ◽  
1966 ◽  
Vol 195 (1) ◽  
pp. 47-48
Author(s):  
A. L. Matles
Keyword(s):  
Congenital Dislocation ◽  
Early Signs ◽  
Dislocation Of The Hip
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