Hip Dysplasia in Adolescents and Adults
Introduction[edit | edit source]
Hip Dysplasia is a term used to describe a variety of abnormalities in which the acetabulum is shallow or incorrectly oriented, and therefore does not properly contain the femoral head.
Hip dysplasia can present in adolescence or adulthood:[1]
- As a residual diagnosis from infancy –
a. a patient may have had multiple treatments or surgeries throughout their life and always known their symptoms may worsen at some point, or
b. it may have been treated and resolved in infancy and been asymptomatic for number of years, with the patient having no knowledge that symptoms could reoccur in adulthood.
2. As a completely new diagnosis in adolescence or adulthood
Adult hip dysplasia falls into the category of ‘Young adult hip conditions’ which refers to a speciality in orthopaedics focussing on hip pathologies in patients from adolescence until those roughly in their 50s. This is due to the differential diagnoses and surgeries around these types of pathologies requiring more specialist input than those of hip pathologies in older adults.
Terms used:
• Hip Dysplasia
• Developmental Dysplasia of the hip (DDH)
• Congenital Dislocation of the hip (CDH)
• “Clicky hips”
• “Loose hips”
• Acetabular Dysplasia
Hip dysplasia both in infancy and adulthood has links with early-onset hip osteoarthritis (OA) (2, 3, 4, 5), therefore timely diagnosis is necessary to provide potential treatment options which can delay the development of OA.
Clinically Relevant Anatomy
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Mechanism of Injury / Pathological Process
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Clinical Presentation[edit | edit source]
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Diagnostic Procedures[edit | edit source]
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Outcome Measures[edit | edit source]
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Management / Interventions
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Differential Diagnosis
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Resources
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References[edit | edit source]
- ↑ Pun S. Hip dysplasia in the young adult caused by residual childhood and adolescent-onset dysplasia. Current Reviews in Musculoskeletal Medicine [Internet]. 2016 Sep 9;9(4):427–34.