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Maurizio De Pellegrin Pediatric Orthopedic Unit, San Raffaele Hospital, Milan, Italy

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Lucrezia Montanari Pediatric Orthopedic Unit, San Raffaele Hospital, Milan, Italy

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Desiree Moharamzadeh Pediatric Orthopedic Unit, San Raffaele Hospital, Milan, Italy

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Oliver Eberhardt Klinikum Stuttgart Olgahospital und Frauenklinik Stuttgart, Orthopädische Klinik, Stuttgart, Germany

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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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Markus S. Hanke Department of Orthopaedic and Trauma Surgery, Inselspital, University of Bern, Bern, Switzerland

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Till D. Lerch Department of Diagnostic, Interventional and Pediatric Radiology University Hospital of Bern, Inselspital, University of Bern, Bern, Switzerland

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Florian Schmaranzer Department of Diagnostic, Interventional and Pediatric Radiology University Hospital of Bern, Inselspital, University of Bern, Bern, Switzerland

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Malin K. Meier Department of Orthopaedic and Trauma Surgery, Inselspital, University of Bern, Bern, Switzerland

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Simon D. Steppacher Department of Orthopaedic and Trauma Surgery, Inselspital, University of Bern, Bern, Switzerland

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Klaus A. Siebenrock Department of Orthopaedic and Trauma Surgery, Inselspital, University of Bern, Bern, Switzerland

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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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Alfonso Vaquero-Picado Department of Orthopedic Surgery, Hospital Universitario La Paz, Madrid, Spain

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Gaspar González-Morán Department of Orthopedic Surgery, Hospital Universitario La Paz, Madrid, Spain

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Enrique Gil Garay Department of Orthopedic Surgery, Hospital Universitario La Paz, Madrid, Spain

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Luis Moraleda Department of Orthopedic Surgery, Hospital Universitario La Paz, Madrid, Spain

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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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Stig Storgaard Jakobsen Department of Orthopaedic Surgery, Aarhus University Hospital, Denmark

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Søren Overgaard Orthopaedic Research Unit, Department of Orthopaedic Surgery and Traumatology, Odense University Hospital, Denmark

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Kjeld Søballe Department of Orthopaedic Surgery, Aarhus University Hospital, Denmark

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Ole Ovesen Orthopaedic Research Unit, Department of Orthopaedic Surgery and Traumatology, Odense University Hospital, Denmark

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Bjarne Mygind-Klavsen Department of Orthopaedic Surgery, Aarhus University Hospital, Denmark

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Christian Andreas Dippmann Section for Sports Traumatology M51, Department of Orthopaedic Surgery, Bispebjerg Hospital, Denmark

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Michael Ulrich Jensen Department of Orthopaedics, Aalborg University Hospital, Denmark

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Jens Stürup Department of Orthopaedics, National University Hospital, Denmark

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Jens Retpen Department of Orthopaedic Surgery, Copenhagen University Hospital, Gentofte, Denmark

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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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Markus S. Hanke Department of Orthopaedic and Trauma Surgery, Inselspital, University of Bern, Bern, Switzerland

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Florian Schmaranzer Department of Diagnostic, Interventional and Pediatric Radiology, University Hospital of Bern, Inselspital, University of Bern, Bern, Switzerland

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Simon D. Steppacher Department of Orthopaedic and Trauma Surgery, Inselspital, University of Bern, Bern, Switzerland

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Till D. Lerch Department of Orthopaedic and Trauma Surgery, Inselspital, University of Bern, Bern, Switzerland

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Klaus A. Siebenrock Department of Orthopaedic and Trauma Surgery, Inselspital, University of Bern, Bern, Switzerland

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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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Oliver Marin-Peña Orthopedic Surgery and Traumatology, University Hospital Infanta Leonor, Madrid, Spain

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Marc Tey-Pons Hospital del Mar, Barcelona, Spain

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Luis Perez-Carro Clinica Mompia Santander, Spain

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Hatem G. Said Assiut University Hospital, Assiut, Egypt

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Pablo Sierra Madrid. University Hospital Torrejon, Madrid, Spain

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Pedro Dantas Hospital CUF Descobertas, Lisboa, Portugal

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Richard N. Villar Spire Cambridge Lea Hospital, Cambridge, UK

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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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K Venkatadass Department of Orthopaedics & Spine Surgery, Ganga Hospital, Coimbatore, India

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V Durga Prasad Department of Orthopaedics & Spine Surgery, Ganga Hospital, Coimbatore, India

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Nasser Mohammed Mansor Al Ahmadi Alwaly Hospital, Aden, Yemen

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S Rajasekaran Department of Orthopaedics & Spine Surgery, Ganga Hospital, Coimbatore, India

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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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Christiaan J A van Bergen Department of Orthopedic Surgery, Amphia, Breda, the Netherlands

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Pieter Bas de Witte Department of Orthopedic Surgery, LUMC, Leiden, the Netherlands

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Floor Willeboordse Knowledge Institute of Medical Specialists, Utrecht, the Netherlands

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Babette L de Geest Knowledge Institute of Medical Specialists, Utrecht, the Netherlands

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Magritha (Margret) M H P Foreman-van Drongelen Department of Hip Sonography, Diagnostiek voor U, Eindhoven, the Netherlands

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Bart J Burger Department of Orthopedic Surgery, North West Hospital Group, Alkmaar, the Netherlands

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Yvon M den Hartog Department of Orthopedic Surgery, Medisch Spectrum Twente, Enschede, the Netherlands

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Joost H van Linge Department of Orthopedic Surgery, Reinier Haga Orthopedic Center, Zoetermeer, the Netherlands

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Renske M Pereboom Dutch Hip Patient Association, Vereniging Afwijkende Heupontwikkeling, Nijkerk, the Netherlands

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Simon G F Robben Department of Radiology, Maastricht University Medical Center, Maastricht, the Netherlands

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M Adhiambo Witlox Department of Orthopedic Surgery, CAPHRI Care and Public Health Research Institute, Maastricht University Medical Center, Maastricht, the Netherlands

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Melinda M E H Witbreuk Department of Orthopedic Surgery, OLVG, AUMC, Amsterdam, the Netherlands

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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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Heide Delbrück Department of Orthopaedics, Trauma and Reconstructive Surgery, University Hospital RWTH Aachen, Aachen, Germany

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Yannik Gehlen Department of Orthopaedics, Trauma and Reconstructive Surgery, University Hospital RWTH Aachen, Aachen, Germany

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Frank Hildebrand Department of Orthopaedics, Trauma and Reconstructive Surgery, University Hospital RWTH Aachen, Aachen, Germany

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Reinald Brunner Emeritus, University Children’s Hospital Basel, Switzerland

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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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Pieter Bas de Witte Department Orthopedic Surgery, LUMC, Leiden, the Netherlands

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Christiaan J A van Bergen Department Orthopedic Surgery, Amphia, Breda, the Netherlands

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Babette L de Geest Knowledge Institute of Medical Specialists, Utrecht, the Netherlands

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Floor Willeboordse Knowledge Institute of Medical Specialists, Utrecht, the Netherlands

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Joost H van Linge Juliana Children’s Hospital, The Hague & Reinier HAGA Orthopaedic Centre, Zoetermeer and Delft, the Netherlands

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Yvon M den Hartog Department Orthopedic Surgery, MST, Enschede, the Netherlands

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Magritha (Margret) M H P Foreman-van Drongelen Department Hip Sonography, Diagnostiek voor U, Eindhoven, The Netherlands

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Renske M Pereboom Dutch Hip Patient Association “Vereniging Afwijkende Heupontwikkeling”, Nijkerk, the Netherlands

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Simon G F Robben Department Radiology, Maastricht University Medical Center, Maastricht, the Netherlands

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Bart J Burger Department Orthopedic Surgery, North West Hospital Group, Alkmaar, the Netherlands

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M Adhiambo Witlox Department Orthopedic Surgery, CAPHRI Care and Public Health Research Institute, Maastricht University Medical Center, Maastricht, the Netherlands

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Melinda M E H Witbreuk Department Orthopedic Surgery OLVG, AUMC Amsterdam, the Netherlands

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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

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