Late recurrence of developmental dysplasia of the hip following Pavlik harness treatment until normal ultrasound appearance.
case_series · Level IV
Where this comes from
- Record sourced from PubMed, PMID 25972698.
- Also identified by DOI 10.1016/j.jor.2014.01.002 and PMC identifier 4421082.
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Abstract
Establish whether recurrent dysplasia once a dysplastic hip has been treated to ultrasonographic normality is possible. 370 babies were referred to a hip ultrasound clinic from June 2005 to 2007 to assess for dysplasia. 96 dysplastic hips underwent appropriate treatment until normal hip morphology achieved on follow-up ultrasounds. Minimum further 12 months follow-up. 3 children (4%) developed late recurrence of dysplasia. Two required a plaster hip spica. One had an additional adductor tenotomy. One required late pelvic osteotomy. This study highlights the need for long-term follow-up of dysplastic hips with an early pelvic X-ray at around six months.
Anatomy
- hip