The surgical treatment of teratologic dislocation of the hip

LeBel, Marie‐Eve; Gallien, Roger

doi:10.1097/01202412-200509000-00004

Cited by 19 publications

(12 citation statements)

References 13 publications

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“…Until recently, the thinking was that reducing arthrogrypotic hips would result in stiff and painful hips, so at most only unilateral hips should be treated to allow for symmetry (Friedlander et al, ; Hansen, ; Huurman & Jacobsen, ; Lloyd‐Roberts & Lettin, ; Mead et al, ; Sarwark, MacEwen, & Scott, ; Williams, ). But a number of recent studies have good functional success after reduction of congenital dislocations in children with AMC (Bernstein, ; Bevan et al, ; Staheli et al, ; van Bosse et al, ; Wada et al, ), high rates of independent ambulation (Akazawa et al, ; Asif, Umer, Beg, & Umar, ; Rocha, Nishimori, Figueiredo, Grimm, & Cunha, ; Yau et al, ), and good results with both bilateral and unilateral hips (Gruel, Birch, Roach, & Herring, ; LeBel & Gallien, ; Szoke et al, ). A study comparing preoperative and follow‐up hip motion in both unilateral and bilateral hip dislocations, the flexion‐extension total active motion only decreased by 4° on average.…”

Section: Hip Dislocations and Contracturesmentioning

confidence: 99%

Treatment and outcomes of arthrogryposis in the lower extremity

Hamdy

Bosse

Altıok

et al. 2019

American J of Med Genetics Pt C

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In this multiauthored article, the management of lower limb deformities in children with arthrogryposis (specifically Amyoplasia) is discussed. Separate sections address various hip, knee, foot, and ankle issues as well as orthotic treatment and functional outcomes. The importance of very early and aggressive management of these deformities in the form of intensive physiotherapy (with its various modalities) and bracing is emphasized. Surgical techniques commonly used in the management of these conditions are outlined. The central role of a multidisciplinary approach involving all stakeholders, especially the families, is also discussed. Furthermore, the key role of functional outcome tools, specifically patient reported outcomes, in the continuous monitoring and evaluation of these deformities is addressed. Children with arthrogryposis present multiple problems that necessitate a multidisciplinary approach. Specific guidelines are necessary in order to inform patients, families, and health care givers on the best approach to address these complex conditions

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Section: Hip Dislocations and Contracturesmentioning

confidence: 99%

Treatment and outcomes of arthrogryposis in the lower extremity

Hamdy

Bosse

Altıok

et al. 2019

American J of Med Genetics Pt C

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“…There is an association with other severe malformations, such as spina bifida, arthrogryposis multiplex congenita, lumbosacral agenesis, chromosomal abnormalities, diastrophic dwarfism, Larsen syndrome and other rare syndromes. 3 …”

Section: Definitionsmentioning

confidence: 99%

Developmental dysplasia of the hip

Noordin

Umer²,

Hafeez³

et al. 2010

Orthop Rev

100

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Developmental dysplasia of the hip (DDH) is a spectrum of anatomical abnormalities of the hip joint in which the femoral head has an abnormal relationship with the acetabulum. Most studies report an incidence of 1 to 34 cases per 1,000 live births and differences could be due to different diagnostic methods and timing of evaluation. Risk factors include first born status, female sex, positive family history, breech presentation and oligohydramnios. Clinical presentations of DDH depend on the age of the child. Newborns present with hip instability, infants have limited hip abduction on examination, and older children and adolescents present with limping, joint pain, and/or osteoarthritis. Repeated, careful examination of all infants from birth and throughout the first year of life until the child begins walking is important to prevent late cases. Provocative testing includes the Barlow and Ortolani maneuvers. Other signs, such as shorting of the femur with hips and knees flexed (Galeazzi sign), asymmetry of the thigh or gluteal folds, and discrepancy of leg lengths are potential clues. Treatment depends on age at presentation and outcomes are much better when the child is treated early, particularly during the first six months of life.

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“…Syndromic dislocations are often fixed and nonreducible and require orthopedic referral for the discussion of operative management. 10 Typical dislocations develop in otherwise healthy infants during the third trimester or postnatal period. The remainder of this article addresses only typical dislocations.…”

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confidence: 99%

Musculoskeletal Screening: Developmental Dysplasia of the Hip

Roof¹,

Jinguji²,

White³

2013

Pediatr Ann

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Developmental dysplasia of the hip (DDH) is common because it is present in 1 of 100 newborns. Failure to diagnose DDH and treat in infancy can result in significant long-term disability. Early diagnosis can be accomplished through a quick but careful physical examination of all newborns. Further selective screening by ultrasound is indicated for those children with risk factors for DDH, which include family history, breech presentation, and unstable hip examination at the initial newborn examination. Continued examination of the hip at all routine well-child checkups is mandatory through the first year of life because late presenting DDH may occur. Treatment with a Pavlik harness is not typically instituted in the neonate because many unstable hips stabilize without intervention, but it is indicated in children older than 2 weeks with hip instability. Ultrasound screening for infants with risk factors for DDH is recommended at age 6 weeks. Pavlik harness treatment for children with unstable hips or significant dysplasia on ultrasound is continued until the hips stabilize and show concentric reduction on imaging. With time, diagnosis and treatment evolve to accommodate the growing child. Infants who fail to respond to nonoperative management may require more extensive interventions. At any time when treatment is initiated, a DDH specialist should be involved in the patient's care. If DDH is recognized early, treatment is less invasive, and long-term effects are minimized.

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The surgical treatment of teratologic dislocation of the hip

Cited by 19 publications

References 13 publications

Treatment and outcomes of arthrogryposis in the lower extremity

Treatment and outcomes of arthrogryposis in the lower extremity

Developmental dysplasia of the hip

Musculoskeletal Screening: Developmental Dysplasia of the Hip

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