Michael David1, Curtis Robb2, Sandeep Jawanda2, Christopher Bache2, Christopher Bradish3. 1. Department of Paediatric Orthopaedics, Royal Orthopaedic Hospital, Birmingham B31 2AP, UK. 2. Department of Paediatric Orthopaedics, Birmingham Children's Hospital, Birmingham B4 6NH, UK. 3. Department of Paediatric Orthopaedics, Great Ormand Street Children's Hospital, London WC1N 3JH, UK.
Abstract
PURPOSE: Establish whether recurrent dysplasia once a dysplastic hip has been treated to ultrasonographic normality is possible. METHODS: 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. RESULTS: 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. CONCLUSION: This study highlights the need for long-term follow-up of dysplastic hips with an early pelvic X-ray at around six months.
PURPOSE: Establish whether recurrent dysplasia once a dysplastic hip has been treated to ultrasonographic normality is possible. METHODS: 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. RESULTS: 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. CONCLUSION: This study highlights the need for long-term follow-up of dysplastic hips with an early pelvic X-ray at around six months.