Developmental dysplasia of the hip

Case contributed by Dr Hisham Alwakkaa

Presentation

Full-term newborn with bilateral hip clunk.

Patient Data

Age: 0 day
Gender: Male
Ultrasound

Alpha angle measures less than 60 degrees bilaterally, indicating acetabular dysplasia bilaterally.

Bilateral superolateral subluxation/dislocation of the femoral head with only minimal bony coverage of the femoral head by bony acetabulum.

Case Discussion

This is a nice example of bilateral hip dysplasia. Ultrasound of the hip is the modality of choice in the neonate period before beginning of the ossification of the capital femoral epiphyses. Ultrasound has the ability to show the cartilaginous femoral head and allow direct visualization of the actual position of femoral head in relation to the respected acetabulum. Alpha angles, which are the equivalent of acetabular angles on x-ray, are used to assess the degree of acetabular dysplasia and normally they measure more than 60 degrees and less than 60 degrees in cases of acetabular dysplasia.

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Case information

rID: 59999
Published: 2nd May 2018
Last edited: 16th Jul 2018
Inclusion in quiz mode: Included
Institution: Women and children Hospital of Buffalo

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