SURGICAL TREATMENT FOR CONGENITAL DISLOCATION OF THE HIP IN CHILDREN
Ahmed Omar Youssef;
Abstract
There is great geographic and racial variation 111 the incidence of congenital dislocation of the hip. Certain areas of the world have an endemically high incidence, whereas in other areas it is virtually
nonexistent.
In this series, abnormal inguinal folds were fo/llul in all cases. It was asymmetrical in unilateral cases and symmetrical in bilateral cases but extend posteriorly beyond tile llllliS.
In a child of walking age with an undetected dislocated hip, families describe a "waddling" type of gait, indicating dislocatiun of the femoral head and a Trendelenburg gait pattern (Morey, 2001).
Radiographic assessment of the newborn hip if normal may be misleading and deceptive. (Hubbard, 2001).
The goal of treatment in congenital dislocation of the hip is to return the femoral head to within the acetabulum, and to maintain this position until the pathological changes have reversed. Early reduct ion implies that fewer adaptive changes have taken place, and reduces the time required for the femoral head, acetabulum and capsular structures to return to their normal
configuration (Hensinger, 1985).
nonexistent.
In this series, abnormal inguinal folds were fo/llul in all cases. It was asymmetrical in unilateral cases and symmetrical in bilateral cases but extend posteriorly beyond tile llllliS.
In a child of walking age with an undetected dislocated hip, families describe a "waddling" type of gait, indicating dislocatiun of the femoral head and a Trendelenburg gait pattern (Morey, 2001).
Radiographic assessment of the newborn hip if normal may be misleading and deceptive. (Hubbard, 2001).
The goal of treatment in congenital dislocation of the hip is to return the femoral head to within the acetabulum, and to maintain this position until the pathological changes have reversed. Early reduct ion implies that fewer adaptive changes have taken place, and reduces the time required for the femoral head, acetabulum and capsular structures to return to their normal
configuration (Hensinger, 1985).
Other data
| Title | SURGICAL TREATMENT FOR CONGENITAL DISLOCATION OF THE HIP IN CHILDREN | Other Titles | العلاج الجراحي لخلع مفصل الفخذ الخلقي في الأطفال | Authors | Ahmed Omar Youssef | Issue Date | 2002 |
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