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D.D.H Developmental Dysplasia of the Hip

D.D.H Developmental Dysplasia of the Hip

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D.D.H Developmental Dysplasia of the Hip. Anatomy. Etiology. MULTIFACTORIAL. Pathology. Femoral Head. Acetabulum. Capsule. Ligamentum Teres. Clinical Features. Neonatal Diagnosis. Radiography. Treatment 0-6 months 6- 18 months 18m-6 years Above 6 years. 0-6 months. - PowerPoint PPT Presentation

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Page 1: D.D.H Developmental Dysplasia of the Hip

D.D.H

Developmental Dysplasia of the Hip

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Anatomy

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D.D.H Comprises :

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Etiology

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MULTIFACTORIAL

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Pathology

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Femoral Head

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Femoral Neck

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Acetabulum

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Capsule

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Ligamentum Teres

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Clinical Features

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Neonatal Diagnosis

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Late features

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Radiography

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Treatment

0-6 months

6 -18 months

18m-6 years

Above 6 years

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0-60-6 monthsmonths

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U.S.U.S.availableavailable

US→(-ve) = Follow Up 3-6monthsUS→(-ve) = Follow Up 3-6months +) +) veve =( =(Splint 6 weeks →(-ve)=Follow up 3-6 mSplint 6 weeks →(-ve)=Follow up 3-6 m+) +) veve=(=(Splint 3-6 mSplint 3-6 m

US→(-ve) = Follow Up 3-6months

+) ve =(Splint 6 weeks →(-ve)=Follow up 3-6 m

+) ve=(Splint 3-6 m

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SONOGRAPHY NOT AVAILABLE

+)ve (Ortolani OR Barlow = Double Napkin OR Pillow 6 weeks

-) ve = (Follow up 6 months

+) ve =(Pavlic harness 3-6 months

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Principles of Splintage

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6-18 months

Reduce + Hold the Reduction

Closed Reduction

Open Reduction

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Closed Reduction

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Open Reduction

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18months- 6 years

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> >66 yearsyearsUnilateral Dislocation = Surgery up to 10 yearsUnilateral Dislocation = Surgery up to 10 yearsBilateral Dislocation = Left as such becauseBilateral Dislocation = Left as such because::

11 - -The deformity is symmetrical and less The deformity is symmetrical and less noticeablenoticeable

22 - -Failure of one side leads to asymmetrical Failure of one side leads to asymmetrical deformitydeformity

33 - -The untreated patient waddles throughout life The untreated patient waddles throughout life maymay

be surprisingly uncomplainingbe surprisingly uncomplaining

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If disability becomes severe, Hip If disability becomes severe, Hip Replacement may beReplacement may be

justifiedjustified

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