Severe scoliosis and developmental dysplasia of the hip

Case contributed by Dr Mostafa Mahmoud El Feky

Presentation

This patient came for CT abdomenA A 'stone protocol' for left loin pain was performed. She also showed abnormal gait and severe scoliosis.

Patient Data

Age: 30
Gender: Female

Advanced S-shape scoliotic deformity of the thoracic and lumbar spine with marked pelvic tilt towards the left side.

Dysplastic right acetabulum, dislocated right hip joint, upward and lateral migration of the right femoral head with pseudo-arthrosis with right iliac bone.

Left sided upper third ureteric stone, located within the upper third of the right ureter about 6 cm distal to the pelvi-ureteric junction. Consequent backpressure changes are seen with moderate dilatation of the proximal ureter and collecting system. Otherwise, multiple left lower calyceal renal gravels are noted within the dilated collecting system.

Case Discussion

This case demonstrates the appearance of longstanding untreated developmental dysplasia of the hip (DDH). This patient was diagnosed in her early childhood and never treated. She also showed abnormal gait and severe scoliosis was identified on imaging. She came complaining of left renal pain for CT stone protocol.

Some studies showed an association between scoliosis and DDH. However, we cannot assume, in this case, that the scoliosis has occurred as a result of the neglected DDH.

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Case information

rID: 52028
Case created: 18th Mar 2017
Last edited: 27th Mar 2017
Inclusion in quiz mode: Excluded

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