scholarly journals Evaluation of developmental dysplasia, Perthes disease, and neuromuscular dysplasia of the hip in children before and after surgery: an imaging update.

1995 ◽  
Vol 164 (5) ◽  
pp. 1067-1073 ◽  
Author(s):  
A M Hubbard ◽  
J P Dormans
Keyword(s):  
Developmental Dysplasia ◽  
Perthes Disease ◽  
Before And After ◽  
Dysplasia Of The Hip

scholarly journals Trends in surgery for developmental dysplasia of the hip before and after introduction of improved detection pathways: a population-based cohort study, Scotland 1997–2014

The Lancet ◽  
2017 ◽  
Vol 390 ◽  
pp. S96 ◽  
Author(s):  
David A McAllister ◽  
Joanne R Morling ◽  
Mike J Reidy ◽  
Colin M Fischbacher ◽  
Rachael Wood ◽  
...  
Keyword(s):  
Cohort Study ◽  
Population Based ◽  
Developmental Dysplasia ◽  
Before And After ◽  
Dysplasia Of The Hip

Paediatric Orthopaedics

2021 ◽  
pp. 28-52
Keyword(s):  
Septic Arthritis ◽  
Femoral Fractures ◽  
Developmental Dysplasia ◽  
Perthes Disease ◽  
Congenital Deformities ◽  
Fibular Hemimelia ◽  
Paediatric Orthopaedics ◽  
The Right ◽  
Practice Questions ◽  
Dysplasia Of The Hip

This chapter contains practice questions based on a broad range of orthopaedic topics that may be encountered within the ‘Hand & Paediatrics’ station of the FRCS (Trauma & Orthopaedics) viva examination. The paediatric questions include important causes of hip pain in children, such as developmental dysplasia of the hip (DDH), slip of the right upper femoral epiphysis (SUFE), Perthes’ disease, and septic arthritis. Trauma topics include supracondylar and femoral fractures, and the chapter also discusses congenital deformities including fibular hemimelia and talipes.

scholarly journals Magnetic resonance imaging follow-up can screen for soft tissue changes and evaluate the short-term prognosis of patients with developmental dysplasia of the hip after closed reduction

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Xianghong Meng ◽  
Jianping Yang ◽  
Zhi Wang
Keyword(s):  
Magnetic Resonance Imaging ◽  
Risk Factors ◽  
Femoral Head ◽  
Ligamentum Teres ◽  
Developmental Dysplasia ◽  
Resonance Imaging ◽  
Acetabular Head Index ◽  
Before And After ◽  
Dysplasia Of The Hip

Abstract Background Magnetic resonance imaging (MRI) can show the architecture of the hip joint clearly and has been increasingly used in developmental dysplasia of the hip (DDH) confirmation and follow-up. In this study, MRI was used to observe changes in the hip joints before and after closed reduction (CR) and to explore risk factors of residual acetabular dysplasia (RAD). Methods This is a prospective analysis of unilateral DDH patients with CR and spica cast in our hospital from October 2012 to July 2018. MRI and pelvic plain radiography were performed before and after CR. The labro-chondral complex (LCC) of the hip was divided into four types on MRI images. The variation in the thickening rate of the ligamentum teres, transverse ligaments, and pulvinar during MRI follow-up was analyzed, and the difference in cartilaginous acetabular head index was evaluated. The “complete relocation” rate of the femoral head was analyzed when the cast was changed for the last time, and the necrotic rate of the femoral head was evaluated after 18 months or more after CR. Lastly, the risk factors of RAD were analyzed. Results A total of 63 patients with DDH and CR were included. The LCC was everted before CR and inverted after CR, and the ligamentum teres, transverse ligaments, and pulvinar were hypertrophic before and after CR, and then gradually returned to normal shape. The cartilaginous acetabular head index gradually increased to normal values. Complete relocation was observed in 58.7% of femoral heads, while 8.6% had necrosis. The abnormalities in LCC was related to RAD (OR: 4.35, P = 0.03), and the rate of type 3 LCC in the RAD group was higher. However, the IHDI classification (P = 0.09); the “complete relocation” of femoral heads (P = 0.61); and hypertrophy of the ligamentum teres (P = 1.00), transverse ligaments (P = 1.00), and pulvinar (P = 1.00) were not related to RAD. Conclusions In this study, MRI can observe the variations of the abnormal soft tissue structures of the diseased hips after CR and spica casting, and can evaluate which hips will have RAD after CR. Therefore, we can utilize MRI in DDH patients appropriately.

scholarly journals Aseptic necrosis of the femoral head in the course of haemophilia; a different clinical and radiological course compared to typical Legg-Calve-Perthes disease (twenty years of follow-up) – case report

2021 ◽  
Vol 86 (3) ◽  
pp. 93-95
Author(s):  
Grzegorz Kandzierski ◽  
◽  
Łukasz Matuszewski ◽  
Szymon Stec
Keyword(s):  
Femoral Head ◽  
Developmental Dysplasia ◽  
Perthes Disease ◽  
Haemophilia A ◽  
Factor Viii Level ◽  
Aseptic Necrosis ◽  
Haemophilic Arthropathy ◽  
Viii Level ◽  
Dysplasia Of The Hip

The authors analyse the course of aseptic necrosis of the femoral head in a 7-year-old boy with haemophilia A (factor VIII level - 0%) caused by massive haemarthrosis into the hip joint (joint tamponade). The patient’s clinical and radiological symptoms differed from those in classic LCP disease, and now, after 20 years, the consequences of necrosis do not confirm typical Perthes disease (LCP). Significant shortening (about 5 cm) of the limb and the X-ray image of the proximal end of the femur resemble the consequences of severe necrosis of the femoral head in the treatment of an infant with developmental dysplasia of the hip (DDH). The study presents necrosis of the femoral head in the course of haemophilia due to its extremely rare occurrence as opposed to haemophilic arthropathy typical for this disease. This description may also contribute to considerations on the etiopathology of LCP disease.

scholarly journals Hip Mobilization at Preterm Age May Accelerate Developmental Dysplasia Recovery

2018 ◽  
Vol 2018 ◽  
pp. 1-5 ◽  
Author(s):  
Mariana Callil Voos ◽  
Soares de Moura Maria Clara Drummond ◽  
Renata Hydee Hasue
Keyword(s):  
Hospital Stay ◽  
Preterm Infant ◽  
Gestational Age ◽  
Developmental Dysplasia ◽  
Lower Limbs ◽  
Before And After ◽  
Hip Ultrasound ◽  
Passive Mobilization ◽  
Design And Methods ◽  
Dysplasia Of The Hip

Purpose. Few studies have described mobilization approaches in developmental dysplasia of the hip (DDH). The present study describes the hip mobilization of a preterm infant (born at 33 6/7 weeks of gestational age) diagnosed with DDH. Design and Methods. During the 43-day hospital stay, the infant was seen twice a week (ten sessions, 20 minutes each). All sessions included hip approximation maneuvers, with the hip positioned in abduction, lateral rotation and flexion, and lower limbs passive mobilization, which were taught to the mother. Early intervention with auditory, tactile, visual, and vestibular stimulations was also performed. The infant was assessed with hip ultrasound before and after treatment. Results. At 34 2/7 weeks of gestational age, she was classified as Graf IIa (left: alpha: 55°, beta: 68°; right: alpha: 59°, beta: 64°). At 40 5/7 weeks, she was classified as Graf I for left (alpha: 67°; beta: 42°) and right (alpha: 66°; beta: 42°) hips. Practical Implications. The intervention seemed to accelerate the acquisition of stability of dysplasic hips in a preterm infant. The outcome supports further investigation of hip approximation maneuvers as part of early stimulation in preterm infants with DDH during hospital stay.

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