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Adult Dysplasia of the Hip
Posted: Apr 3 2020 #(C101416)
B

OA after Pediatric Hip Disease in 42F

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HPI

Grew up in Asia. Recalls a childhood hip disease of some sort and being unable to walk normally. Progressive hip and back pain especially over last 5 years. Also with significant limb length discrepancy and limp. Ambulates about a mile per day and would like to be able to do more.

PMH

HLD, hypothyroidism

PE

BMI 25. 4'10" and 120 lbs. Antalgic gait. No assist devices. Right leg 2 cm shorter than left. No prior hip incisions. Hip flexion 70, internal rotation -20, external rotation 20, abduction 20. Pain with hip motion localizes to groin/posterior buttock. Neurovascularly intact distally.

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Would you obtain any additional imaging studies?
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P: 111052
How would you manage this pathology?
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P: 112994
If you choose Operative management, what technique would you use?
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P: 111053
If you choose Total hip arthroplasty (THA), what surgical approach would you utilize?
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P: 111054
If you choose Total hip arthroplasty (THA), how would you address femoral reconstruction?
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P: 111055
If you choose Total hip arthroplasty (THA), would you aim to equalize leg lengths?
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P: 111105
If you choose Total hip arthroplasty (THA), what bearing articulation would you utilize?
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P: 111056
If you choose Total hip arthroplasty (THA), what kind of instrumentation would you utilize?
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P: 112995
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