IMPORTANT: We currently have a number of bugs related to image cropping and are actively trying to resolve them. In the meantime, we have disabled cropping. Apologies for any inconvenience. Stay informed: radiopaedia.org/chat

Neglected bilateral developmental hip dysplasia

Case contributed by Mohamed El Deen
Diagnosis certain

Presentation

Patient from an underserved area came to hospital complaining of knee joint pain, in a wheelchair and only able to walk with assistance.

Patient Data

Age: 60-65
Gender: Female

Bilateral upward and lateral migration of both femoral heads with pseudoarthrosis with iliac bones. Both femoral heads are flattened and extensively deformed from longstanding untreated developmental hip dysplasia since childhood.

Bilateral moderate sclerosis of sacroiliac joints is noted.

Case Discussion

Bilateral developmental hip dysplasia (DDH) represents 20% of DDH cases 1. Early diagnosis of the disease in developing countries is uncommon, especially in underserved areas.  Neglected DDH will result in osteonecrosis of femoral and acetabular bones by repeated pressure stress unless treated in early childhood.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.