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congruity. 1 The labrum has been considered as an obstacle to reduction in unstable and dysplastic hips. Severin in 1950, reported that it was unnecessary to excise the limbus if the arthrographic follow-up demonstrated a remodelling of the inverted
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, functional views are performed. Especially in dysplastic hips there is typically an apparent joint space narrowing due to subluxation and for differentiation the abduction view is used. 19 New biochemical cartilage MRI techniques such as delayed
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. Anatomical changes in the dysplastic hip With time and growth, several adaptive changes affect all the structures of the hip. Acetabular cavity development needs a concentrically in-contact femoral head. If the femoral head is not reduced, the acetabulum
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patients with clinical signs of FAI, diagnostic intra-articular injection with local anaesthetic can be a valuable tool in the clinical decision-making process. 11 , 12 Intra-articular injections in dysplastic hips have, however, only a very limited
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dysfunction. 62 In many centres severe or unstable SCFE is nowadays treated open using surgical hip dislocation with development of a retinacular soft tissue flap to perform a subcapital re-alignment of the slipped epiphysis, the so-called ‘modified Dunn
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should be avoided, since 1 mm rim trimming will decrease by approximately 2.4° of the CE angle. Therefore, acetabular rim resections greater than 4 to 5 mm could create an iatrogenic dysplastic hip. 38 , 39 Currently, limited acetabuloplasty and
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to 8 years. Remodeling of the acetabulum is considered to be most predictable in children younger than 4 years. The risk of producing a dysplastic acetabulum will be doubled if the hip is not reduced by this age ( 16 ). In general, for children up
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. ( https://doi.org/10.1542/peds.2009-0357 ) 11. Brurås KR Aukland SM Markestad T Sera F Dezateux C Rosendahl K . Newborns with sonographically dysplastic and potentially unstable hips: 6-year follow-up of an RCT . Pediatrics 2011 127 e661
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609 – 614 . 19 Shea KG Coleman SS Carroll K Stevens P & van Boerum DH . Pemberton pericapsular osteotomy to treat a dysplastic hip in cerebral palsy . Journal of Bone and Joint Surgery 1997 79 1342 – 1351 . ( https://doi.org/10
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children with DDH, treated with either a Frejka pillow ( n = 145; 26 Graf D/III/IV) or a Pavlik harness ( n = 137; 48 Graf D/III/IV), with a follow-up of 4 – 34 weeks ( 14 ). The Frejka pillow was used as the preferred device in milder dysplastic hips