Paediatric hip abduction brace

Case contributed by Dr Bruno Di Muzio

Presentation

Patient referred to a paediatric centre due to hip abnormalities.

Patient Data

Age: 6 months
Gender: Female
X-ray

Presentation radiograph

Femoral head epiphyses have not yet ossified, however, the expected positions of the cartilaginous heads appear normal, with the right likely completely dislocated and, on the left, laterally subluxated.

X-ray

First follow-up

Hip abduction brace arch is noted. Both femoral proximal epiphysis are not yet ossified. The hip joints appear enlocated.

Case Discussion

This case illustrates a late management of DDH with a hip abduction brace. It is important to emphasise that ultrasound is the modality of choice to assess the hip joints prior to ossification of the proximal femoral epiphysis (in this case, they were not available). 

DDH is suspected in the early neonatal period by clinical examination (including Ortolani test, Barlow manoeuvres, and Galeazzi sign) and then referred for US assessment

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Case information

rID: 51667
Case created: 2nd Mar 2017
Last edited: 12th Jun 2017
System: Paediatrics
Inclusion in quiz mode: Excluded

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