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PROGRESS IN ORTHOPEDIC SURGERY FOR 1944 A REVIEW PREPARED BY AN EDITORIAL BOARD OF THE AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS: VI. CONGENITAL DISLOCATION OF THE HIP

PROGRESS IN ORTHOPEDIC SURGERY FOR 1944 A REVIEW PREPARED BY AN EDITORIAL BOARD OF THE AMERICAN... Abstract Turner170 stresses the importance of early diagnosis and treatment of congenital dislocation of the hip. He feels that complications become worse with delay. The physical signs are listed as: I. Unilateral dislocation: (a) apparent shortening, (b) decrease in range of abduction, (c) piston motion, (d) asymmetry of skin folds about the thighs, (e) palpation of the head of the femur, (f) trochanter affected near the anterior superior spine. II. Bilateral dislocation: (a) wide perineum, (b) apparent lordosis, (c) unusually deep skin folds, (d) trochanters unusually near level of anterior superior spines, (e) palpation of femoral heads. It is noted in the roentgenograms that in congenital dislocation (1) the acetabular roof is sloping more than the normal 170 degrees, (2) the acetabulum is shallow, (3) the epiphysis is smaller, (4) the epiphysis is displaced, (5) Shenton's line is disturbed and (6) the metaphysial beak is displaced more laterally. The treatment References 1. Turner, V. C.: Importance of Early Recognition of Congenital Dislocation of the Hip , M. J. Wisconsin 43:613-617 ( (June) ) 1944. 2. Thompson, F. R.: Early Diagnosis and Early Treatment of Congenital Dislocation (Acetabulary Dysplasia) of the Hip , New York State J. Med. 44: 1095-1102 ( (May 15) ) 1944. 3. Lapin, H.: Pseudocongenital Dislocations of the Hip in Infants: Three Cases , Arch. Pediat. 60:649-652 ( (Dec.) ) 1943. 4. Michaïl, J.: Treatment of Congenital Dislocations of the Hip in Children , Praxis 32:695-700 ( (Sept. 30) ) 1943. 5. Ponseti, I.: Causes of Failure in Treatment of Congenital Dislocation of the Hip (Improved Method, Including Use of Abduction Bar) , J. Bone & Joint Surg. 26:775-792 ( (Oct.) ) 1944. 6. Leveuf, J.: Pathology of Grave Lesions of Head of Femur Following Unsuccessful Attempt at Orthopaedic Reduction of Congenital Luxations of Hip , Mém. Acad. de chir. 68:400-403 ( (Nov. 11-18) ) 1942. 7. Nathanson, L., and Lewitan, A.: Spina Bifida Associated with Dislocation of the Hip , Am. J. Roentgenol. 51:635-638 ( (May) ) 1944. 8. Roberts, F. B.: Plastic Shelf Operation for Dislocations of the Hip , Ohio State M. J. 40:650-656 ( (July) ) 1944. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

PROGRESS IN ORTHOPEDIC SURGERY FOR 1944 A REVIEW PREPARED BY AN EDITORIAL BOARD OF THE AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS: VI. CONGENITAL DISLOCATION OF THE HIP

Archives of Surgery , Volume 51 (4) – Nov 1, 1945

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Publisher
American Medical Association
Copyright
Copyright © 1945 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1945.01230040292009
Publisher site
See Article on Publisher Site

Abstract

Abstract Turner170 stresses the importance of early diagnosis and treatment of congenital dislocation of the hip. He feels that complications become worse with delay. The physical signs are listed as: I. Unilateral dislocation: (a) apparent shortening, (b) decrease in range of abduction, (c) piston motion, (d) asymmetry of skin folds about the thighs, (e) palpation of the head of the femur, (f) trochanter affected near the anterior superior spine. II. Bilateral dislocation: (a) wide perineum, (b) apparent lordosis, (c) unusually deep skin folds, (d) trochanters unusually near level of anterior superior spines, (e) palpation of femoral heads. It is noted in the roentgenograms that in congenital dislocation (1) the acetabular roof is sloping more than the normal 170 degrees, (2) the acetabulum is shallow, (3) the epiphysis is smaller, (4) the epiphysis is displaced, (5) Shenton's line is disturbed and (6) the metaphysial beak is displaced more laterally. The treatment References 1. Turner, V. C.: Importance of Early Recognition of Congenital Dislocation of the Hip , M. J. Wisconsin 43:613-617 ( (June) ) 1944. 2. Thompson, F. R.: Early Diagnosis and Early Treatment of Congenital Dislocation (Acetabulary Dysplasia) of the Hip , New York State J. Med. 44: 1095-1102 ( (May 15) ) 1944. 3. Lapin, H.: Pseudocongenital Dislocations of the Hip in Infants: Three Cases , Arch. Pediat. 60:649-652 ( (Dec.) ) 1943. 4. Michaïl, J.: Treatment of Congenital Dislocations of the Hip in Children , Praxis 32:695-700 ( (Sept. 30) ) 1943. 5. Ponseti, I.: Causes of Failure in Treatment of Congenital Dislocation of the Hip (Improved Method, Including Use of Abduction Bar) , J. Bone & Joint Surg. 26:775-792 ( (Oct.) ) 1944. 6. Leveuf, J.: Pathology of Grave Lesions of Head of Femur Following Unsuccessful Attempt at Orthopaedic Reduction of Congenital Luxations of Hip , Mém. Acad. de chir. 68:400-403 ( (Nov. 11-18) ) 1942. 7. Nathanson, L., and Lewitan, A.: Spina Bifida Associated with Dislocation of the Hip , Am. J. Roentgenol. 51:635-638 ( (May) ) 1944. 8. Roberts, F. B.: Plastic Shelf Operation for Dislocations of the Hip , Ohio State M. J. 40:650-656 ( (July) ) 1944.

Journal

Archives of SurgeryAmerican Medical Association

Published: Nov 1, 1945

References