Chronic hip subluxation

Case contributed by Dr Henry Knipe

Presentation

Cerebral palsy.

Patient Data

Age: 7 years
Gender: Female
Modality: X-ray

Both hips are enlocated. There is 30-40% lateral uncovering of the femoral heads bilaterally. Bilateral coxa valga. 

Findings in keeping with bilateral chronic hip subluxation. 

Modality: X-ray

Bilateral proximal femoral osteotomies have been performed with insertion of blade plates and screws. There is now marked improvement in coverage of both femoral heads which now are completely covered and enlocated. 

Two year follow-up

Modality: X-ray

Both hips are enlocated and well covered. The appearance of both femoral necks are consistent with the previous location of blade plates

Case Discussion

Chronic hip subluxation is a relatively common complication of cerebral palsy and other neuromuscular disorders. 

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Case Information

rID: 41341
Case created: 27th Nov 2015
Last edited: 14th Jul 2016
Inclusion in quiz mode: Included

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