D.D.H Developmental Dysplasia of the Hip
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Transcript of D.D.H Developmental Dysplasia of the Hip
D.D.H
Developmental Dysplasia of the Hip
Anatomy
D.D.H Comprises :
Etiology
MULTIFACTORIAL
Pathology
Femoral Head
Femoral Neck
Acetabulum
Capsule
Ligamentum Teres
Clinical Features
Neonatal Diagnosis
Late features
Radiography
Treatment
0-6 months
6 -18 months
18m-6 years
Above 6 years
0-60-6 monthsmonths
U.S.U.S.availableavailable
US→(-ve) = Follow Up 3-6monthsUS→(-ve) = Follow Up 3-6months +) +) veve =( =(Splint 6 weeks →(-ve)=Follow up 3-6 mSplint 6 weeks →(-ve)=Follow up 3-6 m+) +) veve=(=(Splint 3-6 mSplint 3-6 m
US→(-ve) = Follow Up 3-6months
+) ve =(Splint 6 weeks →(-ve)=Follow up 3-6 m
+) ve=(Splint 3-6 m
SONOGRAPHY NOT AVAILABLE
+)ve (Ortolani OR Barlow = Double Napkin OR Pillow 6 weeks
-) ve = (Follow up 6 months
+) ve =(Pavlic harness 3-6 months
Principles of Splintage
6-18 months
Reduce + Hold the Reduction
Closed Reduction
Open Reduction
Closed Reduction
Open Reduction
18months- 6 years
> >66 yearsyearsUnilateral Dislocation = Surgery up to 10 yearsUnilateral Dislocation = Surgery up to 10 yearsBilateral Dislocation = Left as such becauseBilateral Dislocation = Left as such because::
11 - -The deformity is symmetrical and less The deformity is symmetrical and less noticeablenoticeable
22 - -Failure of one side leads to asymmetrical Failure of one side leads to asymmetrical deformitydeformity
33 - -The untreated patient waddles throughout life The untreated patient waddles throughout life maymay
be surprisingly uncomplainingbe surprisingly uncomplaining
If disability becomes severe, Hip If disability becomes severe, Hip Replacement may beReplacement may be
justifiedjustified