Developmental dysplasia of the hip - neglected

Case contributed by Dr Mostafa El-Feky

Presentation

Left limb shortening

Patient Data

Age: 40 years
Gender: Female

Both hip and knee joints

X-ray

Left acetabular dysplasia, deformed flattened small left femoral head and upward shift of the left femur (chronic hip dislocation) with pseudoarticulation of the left femoral head with the ilium in keeping with long-standing developmental dysplasia of the hip.

Secondary left lower limb shortening is seen.

Case Discussion

Acetabular dysplasia usually predisposes to developmental dysplasia of the hip joint. It could be congenital or secondary to trauma or septic arthritis. This is a long-standing untreated case and the cause was not known.

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