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Developmental Dysplasia of the Hip (DDH)
Posted: Sep 13 2024 #(C102573)
A

Severe Hip Dysplasia in 13M

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Severe Hip Dysplasia in 13M

HPI

This is a 13-year-old male who presents with 6 months of ongoing bilateral hip pain. He walks with no aid and has no knee pain.

PMH

He has no pertinent past medical or surgical history.

PE

On exam, leg lengths are equal. Positive Stitchfield sign and FADIR test. No tenderness noted over the greater trochanter, ASIS, or SI joints. Supine range of motion: flexion to 90°, external rotation to 20°, and internal rotation to 60° bilaterally. Prone range of motion: internal rotation to 90° and external rotation to 30° bilaterally. Neurologic and vascular status (NVM) intact.

Poll
1 of 1
1. How would you manage this patient?
Non-operative both hips
8%
22/259
    • Non-operative right hip, operative left hip
    1%
    5/259
    • Non-operative left hip, operative right hip
    2%
    7/259
    • Operative both hips
    80%
    208/259
    • Outside of my area of expertise - best if I don't vote
    6%
    17/259
    • PROCEDURE #1

    Right Periacetabular Osteotomy, VDRO

    Intra-procedure P1
    icon
    OUTCOMES
    Post-procedure P1
    PROCEDURE #2

    Left hip VDRO and Periacetabular Osteotomy

    Intra-procedure P2
    icon
    OUTCOMES
    Post-procedure P2
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