Developmental dysplasia of the hip

Case contributed by A.Prof Frank Gaillard

Patient Data

Age: 30 months
Gender: Female
X-ray

The left hip is dislocated. The femoral head is small and the acetabular rood steeply sloping and poorly formed. 

X-ray

7-year-old: post acetabular osteotomy

X-ray years after acetabular osteotomy. The femoral epiphysis remains smaller than the right, but it is now well covered by the acetabulum and has developed very well considering the presentation imaging.

Case Discussion

Typical appearances of developmental dysplasia of the hip (DDH) treated with an acetabular osteotomy.

The mainstay of treatment in late-presenting DDH is ensuring that the femoral head is in joint and remains so. This can be achieved with an acetabular osteotomy which increases the volume of the acetabulum and allows the femoral head to sit within the cup of the acetabulum.

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Case information

rID: 8439
Published: 2nd Feb 2010
Last edited: 13th Aug 2019
Tag: pelvis
Inclusion in quiz mode: Included

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