PMID: 7018789Aug 1, 1981Paper

Congenital dislocation of the hip. A review

Clinical Pediatrics
H H SherkW C Watters

Abstract

Congenital dislocation of the hip usually results from capsular stretching caused by fetal malposition and crouching late in the third trimester. Early recognition of hip dislocation or instability soon after birth permits prompt treatment. Ortolani's and Barlow's maneuvers, respectively, reduce into and displace from the acetabulum a femoral head that is insecurely contained therein. The diagnosis of CDH in the first month of life usually depends on these clinical components of the physical examination of the newborn, because similar device, in this age group can usually maintain the displaced hip in sufficient flexion and abduction to permit reduction and normal development. By 3 months of age, the nuclei of the pelvis and upper femur have ossified enough to permit radiologic diagnosis of CDH. Problems related to treatment increase as the child grows older. In infants up to 6 months of age, closed methods with a harness usually succeed. Beyond 6 months, the soft tissues shorten and prevent easy reduction. These patients almost always require pre-reduction traction. An adductor tenotomy also facilitates reduction and apparently lessens compressive forces on the femoral head, an important consideration in preventing avascular n...Continue Reading

References

Jun 1, 1977·Journal of Pediatric Surgery·P L Ramsey
May 1, 1962·The Journal of Bone and Joint Surgery. British Volume· von ROSEN

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Citations

Mar 7, 2014·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Zheng HaoQing Jiang
Feb 11, 2005·Journal of Pediatric Orthopedics. Part B·Jean-Luc JouveGérard Bollini
May 14, 2016·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Lianyong LiBinbin Wang
Jan 16, 1989·The Medical Journal of Australia·C BowerC Stanton

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