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Results for “HIP DISLOCATION, CONGENITAL”

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At least 1,063 records · Page 59Linked to original sources
PubMed1991

Femoral head anteposition after surgery of congenital dislocation of the hip. A computerised tomography study of 22 hips suspected of anterior dislocation.

A new term called "femoral head anteposition" to describe the clinical appearance of a hip operated on because of CDH and suspected of anterior dislocation, has been introduced. CT scans of both the horizontal and sagittal planes of 22 hips suspected of iatrogenic anterior dislocation were made from 22 children. These had been operated on because of CDH by the open reduction method with derotation varus osteotomy of the femur and transiliac osteotomy by Dega. An evaluation of the CT scans combined with clinical examination allowed the differentiation of the homogeneous clinical appearance from the "anteposition". It was then possible to establish one or several coexisting reasons to the situation. These were: anterior dislocation of the hip, coxa magna after avascular necrosis, gluteal muscle fibrosis or periarticular ossifications.

Child↗
PubMed1993

Pediatric hip and pelvis disorders.

Significant advances in the management of hip and pelvic disorders have occurred during 1992. Developmental dysplasia of the hip or congenital dislocation of the hip has continued to provoke innovative thinking regarding preoperative planning for hip and pelvic reconstruction. "New" osteotomies are proposed but will require long-term follow-up to confirm their appropriateness. A new classification for Perthes' disease has been proposed, and further clues for the basic understanding of the etiology of Perthes' disease add to the already voluminous literature on the subject. For chronic slipped capital femoral epiphysis, there has been confirmation of single-pin in situ fixation as being safe treatment for the disorder. However, the management of acute slipped capital femoral epiphysis remains unresolved.

Child↗
PubMed1987

Splintage for congenital dislocation of the hip. Is it safe and reliable?

Two-hundred and fifteen children with 288 unstable hips have been treated by splintage during the first nine months of life. A simple treatment protocol was followed and the aim was to test the safety and reliability of this protocol as well as of the Von Rosen splint and the Pavlik harness. A vascular necrosis occurred in 3.8% of the splinted hips. Despite splintage, a proportion of children needed operation at a later date.

Evaluation Studies as Topic↗
PubMed1988

The management of congenital dislocation of the hip in the newborn.

We describe the results of a policy of highly selective splintage for CDH, using knee plasters. No child suffered because splintage was withheld. In those who were treated the results were satisfactory and the proportion who required a subsequent operation was extremely low. Avascular necrosis was not a significant problem. The method, although a little more time consuming, appears to offer significant advantages over current alternatives.

Hip Dislocation, Congenital↗
PubMed1990

Ultrasound and congenital dislocation of the hip. The importance of dynamic assessment.

One-hundred newborn children at high risk of hip instability were prospectively assessed clinically and by ultrasound. The decision to treat was based only on the clinical examination. At the age of three months all the children were evaluated clinically and with an anteroposterior radiograph of the pelvis. None of the standard ultrasound measurements of acetabular depth and femoral head cover correlated with the outcome at three months. Dynamic assessment of stability was the only ultrasound technique that had a significant relation with outcome.

Female↗
PubMed1992

Early diagnosis of congenital dislocation of the hip.

In this prospective study, 35,550 neonates were examined shortly after birth by a team of orthopaedic surgeons. They diagnosed 775 unstable or dislocated hips in 656 babies; there were two teratological dislocations. Treatment was first with a Frejka pillow and, if this failed to give a normal hip, a Pavlik harness at three months. Early clinical examination did not identify 21 infants who were found to have subluxation or dislocation of the hip at the three-month review. The number of missed cases declined during the study, however, reflecting the increasing experience of the examiners. One case of avascular necrosis occurred in the group treated from birth and one in the late-diagnosed group. Open reduction was necessary only in the two teratological dislocations. Experienced examiners are needed for accurate clinical diagnosis; and treatment should be started before the baby is discharged from the maternity ward.

Czechoslovakia↗
PubMed1985

Anteversion of the femoral neck in congenital dislocation of the hip.

A ten year follow-up study was made of 107 hips of 97 patients to find if derotation osteotomy affected the growth of the hip joint. The anteversion angles before and after treatment were measured in four groups classified according to treatment method: Pavlik harness, frog plaster, Colonna operation and derotation osteotomy. The difference in the angle was greatest in the derotation osteotomy group. However, no significant relation between the CE angles and the anteversion angles or the degree of derotation at the time of the follow-up study was found. The author concluded that the growth of the hip is not influenced by the extent of anteversion as much as was previously believed before.

Adolescent↗
PubMed1983

Teratologic congenital dislocation of the hip. Report of two cases.

The incidence of teratologic dislocation of the hip is about 0.04 per thousand. Teratologic CDH is usually described together with other anomalies, such as arthrogryposis. Quite different opinions about the diagnostic criteria are found in the literature; some of these are reviewed in this report. Two cases of teratologic CDH with no other anomalies are also reported. Computer tomography was used to confirm reduction in plaster when conventional radiologic examination gave ambiguous results.

Child, Preschool↗
PubMed2000

[Graf's ultrasound examination method in assessment of dysplasia and congenital dislocation of infant hip].

OBJECTIVE: To discuss the application of Graf's sonographic method in assessment of developmental dysplasia and dislocation of infant hip. METHODS: 2258 infants (4516 hips) were examined and evaluated by Graf's method. RESULTS: The analysis of data showed that type I hip accounted too 78.99%, type II 20.56%, and type III and type IV 0.45%. CONCLUSION: Graf's method can provide qualitative and quantitative evaluation for hips of infants in 3 months after birth. It is an effective in developmental dysplasia of the hip (DDH) and is also useful for early treatment and follow-up of DDH.

Female↗
PubMed1975

[Results of treatment with Pavlik harness for congenital dislocation of the hip (author's transl)].

The results of treatment with Pavlik harness in 168 hip joints have been reviewed. The average follow-up period was 8 years 6 months. In total 114 hip joints were treated only by Pavlik harness. Four hip joints were treated by surgical methods after conservative treatment. The results were very good in 81.0%. Subluxated hips were in 8.9%. Coxa valga et antetorta in 6.0% and deformed head in 4.1%. In a high percentage of our cases radiologically very good results were found. Joint development must be further followed up.

Braces↗
PubMed2003

[Radiological status of hip joints of children at the beginning of walking, when treatment of congenital hip dysplasia and dislocation was begun in the first two weeks of life].

This paper describes the radiological status on the start of walking in 31 hip joints in 24 children, in which the treatment of the developmental dysplasia with dislocation of the hip began in the first 2 weeks. Before the beginning of the treatment, ultrasonographic assessment revealed type D in 22% hips, type III in 55% and type IV in 23%. The radiographic evaluation was based on 6 parameters, which values were compared to the normal ones for the age group. It was estimated that only 32% hips had a correct radiological status, the other hips revealed smaller or greater dysplasia.

Female↗
PubMed1990

[Pathogeny and natural history of congenital dislocation of the hip].

Based on a review of the literature, the authors have made a critical study of several etiological factors. Endogenous factors such as acetabular dysplasia, increased anteversion of the femoral neck, capsular laxity support the genetic theory but they are neither constant nor necessary and are only facilitating factors. The major factor seems to be a mechanical one linked to the position in uterus: hyperflexion with adduction and external rotation causing an abnormal pressure on the greater trochanter leading to an expulsion of the head upward and backward. This theory can explain the natural history of C D H which is first, at birth a hip unstability followed by to possible evolutions: either a persistent luxation becoming irreducible or a spontaneous stabilisation leading sometimes to complete healing or to residual abnormalities (subluxation or dysplasia). This concept suggests practical conclusions: the importance of an early diagnosis, the selection of the signs of the hip at risk the pattern of prevention, the importance of non clinical investigations, the principles of the treatment based on postures, the indications for the different types of treatment.

Animals↗