Developmental dysplasia of the hip
Updates to Case Attributes
The case presented at the age of 2 months for screening of developmental dysplasia of the hip as her older siblings have similar condition. The left hip gave positive Barlow and Ortolani tests.
Ultrasound was requested and showed a shallow acetabulum, significant displacement of the femoral head from the acetabulum, acetabular cup accommodating <1/2 of femoral head (significant dislocation) and Alpha angle =47° (Normal > 60). Treatment with hip abduction brace was recommended.
At present, the patient came for follow up of developmental dysplasia of the left hip, with current left lower limb shortening and positive Galeazzi sign. The patient lost follow up through the last 6 months with neglected treatment and presented with classical radiographic features of developmental dysplasia of the hip.
The case shows Puttis triad
increased acetabular angle
small capital femoral epiphysis
superolateral displacement (superior to Hilgenreiner’s line and lateral to Perkin’s line)
-<p>The case presented at the age of 2 months for screening of developmental dysplasia of the hip as her older siblings have similar condition. The left hip gave positive Barlow and Ortolani tests. </p><p>Ultrasound was requested and showed a shallow acetabulum, significant displacement of the femoral head from the acetabulum, acetabular cup accommodating <1/2 of femoral head (significant dislocation) and Alpha angle =47° (Normal > 60). Treatment with hip abduction brace was recommended.</p><p>At present, the patient came for follow up of developmental dysplasia of the left hip, with current left lower limb shortening and positive Galeazzi sign. The patient lost follow up through the last 6 months with neglected treatment and presented with classical radiographic features of developmental dysplasia of the hip.</p>- +<p>The case presented at the age of 2 months for screening of developmental dysplasia of the hip as her older siblings have similar condition. The left hip gave positive Barlow and Ortolani tests.</p><p>Ultrasound was requested and showed a shallow acetabulum, significant displacement of the femoral head from the acetabulum, acetabular cup accommodating <1/2 of femoral head (significant dislocation) and Alpha angle =47° (Normal > 60). Treatment with hip abduction brace was recommended.</p><p>At present, the patient came for follow up of developmental dysplasia of the left hip, with current left lower limb shortening and positive Galeazzi sign. The patient lost follow up through the last 6 months with neglected treatment and presented with classical radiographic features of developmental dysplasia of the hip.</p><p>The case shows Puttis triad</p><ol>
- +<li><p>increased acetabular angle</p></li>
- +<li><p>small capital femoral epiphysis</p></li>
- +<li><p>superolateral displacement (superior to Hilgenreiner’s line and lateral to Perkin’s line)</p></li>
- +</ol>