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Results for “Hip Dislocation”

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At least 19 recordsLinked to original sources
PubMed1979

[Value of the orthopedic examination of newborn infants with regard to the diagnosis of hip dislocation].

Out of a total of 10,617 new-born babies examined, 11.1 percent required supervision as a result of clinical signs pointing to a congenital dislocated hip joint, and 6 percent as a result of anamnestic indications. X-ray follow-up examinations after four months showed pathological hip joint findings in 27.7 percent of the patients under supervision. Out of a total of 1,587 new-born babies without pathological findings (both clinical and anamnestic), 1.2 percent showed pathological hip findings in an X-ray examination performed at the age of four months. The overall incidence of congenital dislocated hip joints was found to be 5.8 percent. The results point to the importance of regular and thorough hip examinations in child-welfare centers even after earlier checks on new-born babies which revealed no pathological findings.

Follow-Up Studies↗
PubMedDate not supplied

Functional results of iliopsoas transfer in myelomeningocele hip dislocations.

Paralytic hip dislocations in 37 children with myelomeningoceles have been treated by open reduction, iliopsoas tendon transfer and various other procedures about the hip. At follow-up, less than half the patients were community ambulators and had maintained their reductions. The level of the spinal lesion, alignment of the lower extremities in relation to the trunk and pelvis and the presence of scoliosis including pelvic obliquity were more important factors in determining the patient's degree of function than the status of the hip reduction.

Child↗
PubMedDate not supplied

[Concentric centering of the normal hip and concentric reduction of the dislocated hip. Radiological study on their determination and clinical application].

A radiological method to determine the ideal, geometrical, center of the acetabulum and femoral head is described by the author; the proceedings for these localizations and the interrelationship between them, are also described. These factors were taken from a series of simple radiography and arthograms, which is called; "Concentrical Centring" in normal hips, as well as other seires of dislocated hips, which were radiographed in anteroopsterior view, and in frog position, as well as in histological sections. The necessity to look for the concentrical reduction of the dislocated hips is also emphasized, as a basic point for the good development of the acetabulum, which is achieved, at the time of treatment, if the location is made of the point of the femoral head with that of the acetabulum (Concentrical Reduction). This method will permit to evaluate this interrelationship easily in a numerical scale figure and with a minimum of error. This is a useful resource previous to the arthrography in those hips which have been just recently reduced; and latter, in their follow-up.

Anthropometry↗
PubMed1978

Total hip arthroplasty in chronically dislocated hips. Follow-up study on the protrusio socket technique.

The so-called protrusio socket technique of total hip arthroplasty was shown to be very effective in a series of twenty-two chronically dislocated or subluxated hips. In seventeen patients with follow-up of sixteen to fifty-nine months, excellent results were obtained in all but two hips. Obesity and rheumatoid arthritis or other systemic causes of osteopenia are considered contraindications to the procedure.

Adult↗
PubMedDate not supplied

Traumatic hip dislocation with ipsilateral femoral shaft fractures.

A traumatic dislocation of the hip joint associated with an ipsilateral femoral shaft fracture is a rare injury resulting from severe trauma. Initially the dislocated hip joint is often unrecognized and consequently reduction is delayed. Early diagnosis and reduction of the hip joint improves the functional prognosis. The maximum functional recovery is possible only with greater awareness of this combined injury. Examination of the hip joints by clinical roentgenography in the critically injured patient, especially those with head injuries, or physical signs masked by extremity swelling, should be a routine procedure.

Accidents, Traffic↗
PubMed1979

Natural history of the dislocated hip in spastic cerebral palsy.

A review was made of 88 adult institutionalized patients with spastic cerebral palsy and contractural deformity of the hips. 21 were untreated for dislocated hip, and 11 of these suffered from hip pain. The degree of pain was directly related to neurological maturity and to the coexistence of athetosis and spasticity. Decubitus ulcers and perineal care problems were more associated with contractures than with dislocation alone. It is concluded that dislocation and subluxation should be prevented by surgical means, but that surgical treatment of the already dislocated hip should be reserved for the neurologically mature and athetoid patient.

Adult↗
PubMed1978

[The inguinal incision for the open reduction of congenital hip dislocation (author's transl)].

Operative reductions of congenital hip dislocation are sometimes difficult when lateral incisions are used since the medial part of the acetabulum and the lower limbus are difficult to visualize. In the Ludloff technique this part of the acetabulum is seen excellent, but not the lateral part. High dislocations with inverted limbus are difficult to reduce and only with partial excision of the limbus. An inguinal incision beginning lateral at the spina ilica ventralis offers the best view and can be used for all different degrees of dislocation and age groups. The technique is described, the advantages and the rate of avascular necrosis compared with other incisions. Femoral osteotomies and acetabular or pelvic osteotomies should not be done at the same time because of a higher percantage of avascular necrosis. In high dislocaitons shortening osteotomies should not be done in the intertrochanteric region but deeper in the shaft to avoid additional disturbances of the vascular system of the proximal femur.

Femur Head Necrosis↗