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2 – Congenital dislocation of the hip: Difference between revisions

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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 ==
==== 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 ====
== 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 ====
== 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) ====
== 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