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2 – Congenital dislocation of the hip: Difference between revisions
2 – Congenital dislocation of the hip (view source)
Revision as of 12:01, 27 August 2024
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(Created page with " ==== 7. DDH (developmental dysplasia of the hip), etiology and pathology of ==== * DDH is the most common congenital musculoskeletal deformity ** Affects approx. 2 out of 100 000 newborns in Europe * Left hip is slightly more often affected than the right ** Bilateral DDH is rare * Etiology ** Girls > boys ** Breech position during delivery *** Causes abnormal flexion of the hip ** Firstborn children > later-born children ** Family history ** Oligohydramnios * Patholog...") |
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== 7. DDH (developmental dysplasia of the hip), etiology and pathology of == | |||
* DDH is the most common congenital musculoskeletal deformity | * DDH is the most common congenital musculoskeletal deformity | ||
** Affects approx. 2 out of 100 000 newborns in Europe | ** Affects approx. 2 out of 100 000 newborns in Europe | ||
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**** This makes it difficult to reduce the head of the femur through the narrowed opening | **** This makes it difficult to reduce the head of the femur through the narrowed opening | ||
== 38. DDH, clinical and X-ray features of == | |||
* Clinical features | * Clinical features | ||
** Limited motion of the limb | ** Limited motion of the limb | ||
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*** Femoral head is lateral to the Perkin line | *** Femoral head is lateral to the Perkin line | ||
== 41. Conservative treatment of DDH == | |||
* If patient is < 6 months | * If patient is < 6 months | ||
* Baby must use a so-called Pavlik harness or an abduction splint, which secures the baby’s hips in a stable “frog-leg” position, allowing them to develop normally | * Baby must use a so-called Pavlik harness or an abduction splint, which secures the baby’s hips in a stable “frog-leg” position, allowing them to develop normally | ||
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* Has high success rate when used correctly | * Has high success rate when used correctly | ||
== 52. Surgical treatment of DDH (developmental dysplasia of the hip) == | |||
* If patient is already > 6 months old OR conservative treatment didn’t work | * If patient is already > 6 months old OR conservative treatment didn’t work | ||
* The specific surgical treatment depends on the exact pathology, but it always involves open reduction of the joint | * The specific surgical treatment depends on the exact pathology, but it always involves open reduction of the joint | ||