Developmental dysplasia of hip
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Delayed walking and improper gait.
2 case question available
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There is superolateral displacement of both femoral heads with short epiphyses resulting in disruption of Shenton's line. Both acetabulum also appears shallow. (Puttis's triad).
Developmental dysplasia of the hip (DDH) is also called as congenital hip dislocation/dysplasia and it is a wide spectrum of hip abnormality, ranging from a shallow acetabulum to a completely dislocated hip (high-riding hip). It is more common in females with a ratio of 8:1 as compared to males, first child with positive family history, breech presentation, left side and bilateral in approximately 20% of cases 1-3.
- 1. Screening for developmental dysplasia of the hip: recommendation statement. (2006) Pediatrics. 117 (3): 898-902. doi:10.1542/peds.2005-1995 - Pubmed
- 2. Sahin F, Aktürk A, Beyazova U, Cakir B, Boyunaga O, Tezcan S, Bölükbaşi S, Kanatli U. Screening for developmental dysplasia of the hip: results of a 7-year follow-up study. (2004) Pediatrics international : official journal of the Japan Pediatric Society. 46 (2): 162-6. doi:10.1046/j.1442-200x.2004.01855.x - Pubmed
- 3. Luis S. Beltran, Zehava S. Rosenberg, Jason D. Mayo, Maria Diaz De Tuesta, Olga Martin, Luis P. Neto, Jenny T. Bencardino. Imaging Evaluation of Developmental Hip Dysplasia in the Young Adult. (2013) American Journal of Roentgenology. 200 (5): 1077-88. doi:10.2214/AJR.12.9360 - Pubmed