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Hip dysplasia

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acetabulum), the joint is normal, but absence of the "clunk" sound indicates that the acetabulum is not fully developed. The next method that can be used is called the Barlow maneuver. It is done by adducting the hip while pushing the thigh posteriorly. If the hip goes out of the socket it means it is dislocated, and the newborn has a congenital hip dislocation. The baby is laid on its back for examination by separation of its legs. If a clicking sound can be heard, it indicates that the baby may have a dislocated hip. It is highly recommended that these maneuvers be done when the baby is not fussing, because the baby may inhibit hip movement.. Overall, the latest evidence suggests that clinical screening tests are not sufficiently reliable for diagnosing
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developing early arthritis, sometimes even during teenage years. All treatment aims to delay the onset of arthritis, but no treatment is fully successful in avoiding it; and, all available treatments bear the risk of inflicting equivalent damage. Most unfortunately, studies have as yet been unable to find a method of predicting outcomes in either the surgical/orthopedic treatment of the condition in infants and young children, or the surgical treatment of these early treatments' negative outcomes later in life (such as arthritis, avascular necrosis, trochanteric bursitis, and
399: 391: 240: 49: 789:). Braces and splints are often used following either of these methods to continue treatment. Although some children "outgrow" untreated mild hip dysplasia and some forms of untreated dysplasia cause little or no impairment of quality of life, studies have as yet been unable to find a method of predicting outcomes. On the other hand, it has often been documented that starting treatment late leads to complications and ends in poor results. 407: 743: 653: 719: 731: 641: 555:
of the femoral head up until then, and is the most accurate method for imaging of the hip during the first few months after birth. However, in most instances, ultrasound screening should not be performed before 3 to 4 weeks of age because of the normal physiologic laxity. When universal with targeted
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The cause of the condition is unknown; however, some factors of congenital hip dislocation are through heredity and racial background. It is also thought that the higher rates in some ethnic groups (such as some Native American groups) is due to the practice of swaddling of infants, which is known to
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which locks the hip joint in an "adducted" position (pulling the knees together tends to pull the heads of the femur bone out of the sockets or acetabulae) for extended periods. Modern swaddling techniques, such as the 'hip healthy swaddle' have been developed to relieve stress on hip joints caused
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In order to do the Ortolani maneuver it is recommended that the examiner put the newborn baby in a position in which the opposite hip is held still while the thigh of the hip being tested is abducted and gently pulled anteriorly. If a "clunk" is heard (the sound of the femoral head moving over the
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of the hip at a comparatively young age. Dislocated load bearing surfaces lead to increased and unusual wear, although there are studies that contradict these findings (see). Peri-acetabular osteotomy (PAO) surgery can be used to realign the hip joint in some adolescents and adults. Subsequent
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Hip dysplasia presents a nearly perfect equilibrium between the arthritis, movement/mobility problems and pain associated with the developmental malformation, and the arthritis, movement/mobility problems and pain that are, as often as not in moderate to severe cases, inflicted by the treatment
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Sometimes during an exam a "click" or more precisely "clunk" in the hip may be detected (although not all clicks indicate hip dysplasia). When a hip click (also known as "clicky hips" in the UK) is detected, the child's hips are tracked with additional screenings to determine if developmental
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However, given the very real possibility of a limp, constant and/or debilitating pain, complicated treatment and impaired mobility later in life, careful developmental monitoring is indicated and early intervention is often the best result. The worst possible consequence of non treatment is
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Hip dysplasia can develop in older age. Adolescents and adults with hip dysplasia may present with a waddling gait, Trendelenburg's sign, decreased hip abduction, hip pain and in some cases hip labral tears. X-rays are used to confirm a diagnosis of hip dysplasia. CT scans and MRI scans are
180:. Hip dysplasia may occur at birth or develop in early life. Regardless, it does not typically produce symptoms in babies less than a year old. Occasionally one leg may be shorter than the other. The left hip is more often affected than the right. Complications without treatment can include 839:
are more likely to have congenital hip dislocation than any of the other races. The risk for Native Americans is about 25–50 in 1000. The overall frequency of developmental dysplasia of the hip is approximately 1 case per 1000 individuals; however, Barlow believed that the incidence of hip
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of the femoral head have been reported with the use of the Pavlik harness, but whether these cases were due to improper application of the device or a complication encountered in the course of the disorder remains unresolved. Complications arise mainly because the sheet of the
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Determining the incidence can be difficult. In addition there is a wide margin in diagnostic results. A German study comparing two methods resulted in twice the usual rate for one method. The condition is eight times more frequent in females than in males.
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ultrasound screening was compared, the former results in an insignificant reduction in the late diagnosis of hip dysplasia, which is why universal ultrasonographic screening of newborn infants is not recommended by the American Academy of Pediatrics.
466:, on the other hand severely malformed joints can appear stable. That is one reason why follow-up exams and developmental monitoring are important. Physical examination of newborns followed by appropriate use of hip ultrasound is widely accepted. 226:
About 1 in 1,000 babies have hip dysplasia. Hip instability of meaningful importance occurs in one to two percent of babies born at term. Females are affected more often than males. Hip dysplasia was described at least as early as the 300s BC by
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The Harris hip score (developed by William H. Harris MD, an orthopedist from Massachusetts) is one way to evaluate hip function following surgery. Other scoring methods are based on patients' evaluation like e.g. the Oxford hip score, HOOS and
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Czubak J, Piontek T, Niciejewski K, Magnowski P, Majek M, Płończak M (2004). "Retrospective analysis of the non-surgical treatment of developmental dysplasia of the hip using Pavlik harness and Fredjka pillow: comparison of both methods".
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The term is not used consistently. In pediatric/neonatal orthopedics it is used to describe unstable/dislocatable hips and poorly developed acetabula. For adults it describes hips showing abnormal femur head or acetabular x-rays.
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Aguilar CM, Neumayr LD, Eggleston BE, et al. (2005). "Clinical evaluation of avascular necrosis in patients with sickle cell disease: Children's Hospital Oakland Hip Evaluation Scale--a modification of the Harris Hip Score".
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Early hip dysplasia can often be treated using a Pavlik harness (see photograph) or the Frejka pillow/splint in the first year of life with usually normal results. Complications can occur when using the Pavlik harness. Cases of
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Some sources prefer "developmental dysplasia of the hip" (DDH) to "congenital dislocation of the hip" (CDH), finding the latter term insufficiently flexible in describing the diversity of potential complications.
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pushes the circumflex artery against the neck of the femur and decreases blood flow to the femoral head, so the Frejka pillow is not indicated in all the forms of the developmental dysplasia of the hip.
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Female sex, alone without other known risk factors, accounts for 75%. A genetic factor is indicated since the trait runs in families and there is an increased occurrence in some ethnic populations (e.g.,
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The Frejka pillow splint was named after Dr. Bedrich Frejka (1890-1972), a Czech orthopedic surgeon. The Pavlik harness was named after Dr. Arnold Pavlik (1902-1962), also a Czech orthopedic surgeon.
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the femoral head tends to get pushed out of the socket and the breech position is probably the most important single risk factor, whether an infant is delivered vaginally or by cesarean section.
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Hip dysplasia is one of the most studied veterinary conditions in dogs, and the most common single cause of arthritis of the hips. Cats are also known to have this condition, especially
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Ruiz Santiago, Fernando; Santiago Chinchilla, Alicia; Ansari, Afshin; Guzmån Álvarez, Luis; Castellano García, Maria del Mar; Martínez Martínez, Alberto; Tercedor Sånchez, Juan (2016).
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Singh, Abhinav; Wade, Ryckie George; Metcalfe, David; Perry, Daniel C. (14 May 2024). "Does This Infant Have a Dislocated Hip?: The Rational Clinical Examination Systematic Review".
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Despite the widespread use of ultrasound, pelvis X-ray is still frequently used to diagnose or monitor hip dysplasia or for assessing other congenital conditions or bone tumors.
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The use of the word congenital can also imply that the condition already exists at birth. This terminology introduces challenges, because the joint in a newborn is formed from
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There is some evidence suggesting that hip examinations in newborns are painful and pain relief in the form of oral glucose has been suggested but is not yet widely accepted.
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If both hip joints are affected, one speaks of "bilateral" dysplasia. In this case, some diagnostic indicators like asymmetric folds and leg-length inequality do not apply.
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Some sources prefer the term "hip dysplasia" over DDH, considering it to be "simpler and more accurate", partly because of the redundancy created by the use of the terms
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In unilateral dysplasia only one joint shows deformity, the opposite side may show resulting effects. In the majority of unilateral cases, the left hip has the dysplasia.
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Wiberg G. Studies of acetabular and congenital subluxation of the hip joint with special reference to complication of osteoarthritis Acta Chir Scand 1939, 83(Suppl. 58)
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is another option for correcting hip dysplasia in adults. It is a type of hip replacement that preserves more bone, and may work for younger hip dysplasia patients.
529:. Types of DDH include subluxation, dysplasia, and dislocation. The main types are the result of either laxity of the supporting capsule or an abnormal acetabulum. 773:
is sometimes used in the weeks leading up to a surgery to help stretch ligaments in the hip joint, although its use is controversial and varies amongst physicians.
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uses a crutch owing to congenital hip dysplasia. In season 12, she undergoes a hip replacement to cure her dysplasia when her previously untreated joint worsens.
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The most useful lines and angles that can be drawn in the pediatric pelvis assessing hip dysplasia are as follows: Different measurements are used in adults.
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of the joints. It is a genetic (polygenic) trait that is affected by environmental factors. It is common in many dog breeds, particularly the larger breeds.
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In dogs, hip dysplasia is an abnormal formation of the hip socket that, in its more severe form, can eventually cause crippling lameness and painful
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If the joint is fully dislocated a false acetabulum often forms (often higher up on the pelvis) opposite the dislocated femoral head position.
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Ultrasonography is the imaging method of choice up to 6 months for the nonoperative surveillance imaging in harness of known diagnosis of DDH.
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score. Children's Hospital Oakland Hip Evaluation Scale (CHOHES) is a modification of the Harris hip score that is currently being evaluated.
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Forst J, Forst C, Forst R, Heller KD (1997). "Pathogenetic relevance of the pregnancy hormone relaxin to inborn hip instability".
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of up to 3.5 cm just medial of the gluteus maximus insertion point on the greater trochanter due to excessive friction).
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that are members of the Beukes family. The femur head is flat and irregular. People develop osteoarthritis at an early age.
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Congenital dislocation of the left hip in an elderly person. Closed arrow marks the acetabulum, open arrow the femoral head.
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Many of those with mild instability resolve without specific treatment. In more significant cases, if detected early,
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Types of misalignments of femur head to socket in hip dysplasia. A: Normal. B: Dysplasia. C: Subluxation. D: Luxation
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Developmental dysplasia of the hip (DDH), developmental dislocation of the hip, congenital dysplasia of the hip (CDH)
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limb length discrepancy (evaluated by placing the child in a supine position with the hips and knees flexed ), and
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infants, use of overly restrictive baby seats, carriers and other methods of transporting babies, or use of a
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is affected, there is a 40% risk the other will also be affected. Screening all babies for the condition by
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in newborns can be as high as 1 case for every 60 newborns, with the rate dropping to 1:240 at one week.
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carriers not affected. Further risk factors include, gender, genetics (family history), and firstborns.
3616: 1383:, Per Holck, Anthropological Department, Anatomical Institute, Box 1105 Blindern, N-0317 Oslo 3, Norway 304: 1424:"Familial osteoarthritis of the hip joint associated with acetabular dysplasia maps to chromosome 13q" 3670: 3590: 2025: 1136: 2587: 2298: 1871:"Oral sweet solution to prevent pain during neonatal hip examination: a randomised controlled trial" 1688:
Kamath S, Bramley D (2005). "Is 'clicky hip' a risk factor in developmental dysplasia of the hip?".
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where the socket portion does not fully cover the ball portion, resulting in an increased risk for
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Kokavec M, Bialik V (2007). "Developmental dysplasia of the hip. Prevention and real incidence".
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Cilliers HJ, Beighton P (1990). "Beukes familial hip dysplasia: an autosomal dominant entity".
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condition. That means that several factors are involved in causing the condition to manifest.
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A narrow uterus also facilitates hip joint dislocation during fetal development and birth.
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Hip dysplasia can range from barely detectable to severely malformed or dislocated. The
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Shaw, Brian A.; Segal, Lee S.; SECTION ON ORTHOPAEDICS; et al. (1 December 2016).
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may have to be treated surgically because they adapt to the dislocated joint position (
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European Instructional Lectures: Volume 9, 2009; 10th EFORT Congress, Vienna, Austria
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Jacobsen S, Rømer L, Søballe K (2006). "The other hip in unilateral hip dysplasia".
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examination techniques to detect hip dysplasia in newborns include observation for
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Pettersson, Miriam; Olsson, Emma; Ohlin, Andreas; Eriksson, Mats (September 2019).
1890: 1882: 1851: 1699: 1574: 1503: 1444: 1436: 1312: 1262: 1197: 1144: 1079: 997: 897: 696: 220: 3758: 3493: 3323: 3289: 3242: 3025: 2575: 2367: 2277: 2209: 1675:"HipDysplasia - Newborn Nursery at LPCH - Stanford University School of Medicine" 1674: 948: 811: 807: 445: 348: 205: 3621: 3552: 3516: 3488: 3410: 3314: 3188: 2754: 2534: 2448: 2368:"ACR Appropriateness Criteria - Developmental Dysplasia of the Hip (DDH)–Child" 2088: 1869:
Olsson, Emma; Pettersson, Miriam; Eriksson, Mats; Ohlin, Andreas (April 2019).
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be a potential risk factor for developing dysplasia. It also has a low risk in
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The occurrence of hip joint dislocation in early Lappic populations of Norway
1326: 883: 687: 522: 344: 185: 121: 2988: 2721: 2705:"Influence of hip dysplasia on the development of osteoarthritis of the hip" 2518: 2255: 1508: 1491: 1201: 1016:"Definition: congenital dysplasia of the hip from Online Medical Dictionary" 239: 3713: 3606: 3448: 3420: 3206: 3201: 2844: 2739: 2583: 2542: 2503: 2443: 2416: 2251: 2175: 2096: 2058: 2039: 1961: 1904: 1855: 1828: 1711: 1586: 1578: 1546:"Developmental Dislocation of the Hip - Wheeless' Textbook of Orthopaedics" 1458: 1408: 1334: 1317: 1301:"Evaluation and Referral for Developmental Dysplasia of the Hip in Infants" 1156: 1093: 1084: 1068:"Evaluation and Referral for Developmental Dysplasia of the Hip in Infants" 1067: 867: 821: 803: 742: 552: 423: 390: 375: 364: 215:
may be all that is required. In cases that are detected later, surgery and
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Lievense AM, Bierma-Zeinstra SM, Verhagen AP, Verhaar JA, Koes BW (2004).
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This article is about the disease in humans. For the disease in dogs, see
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Fleischman, Andrew N.; Rothman, Richard H.; Parvizi, Javad (April 2018).
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Two maneuvers commonly employed for diagnosis in neonatal exams are the
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or non-reducible dislocation occurs as part of more complex conditions.
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whether an infant is delivered vaginally or by cesarean section. If one
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Nakamura J, Kamegaya M, Saisu T, Someya M, Koizumi W, Moriya H (2007).
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to assist in firmly anchoring the artificial material in the bone bed.
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Bialik V, Bialik GM, Blazer S, Sujov P, Wiener F, Berant M (1999).
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All newborns should be screened for congenital hip dysplasia. The
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are done to treat problems which have arisen from hip dysplasia.
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Shaw, BA; Segal, LS; SECTION ON, ORTHOPAEDICS. (December 2016).
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Some studies suggest a hormonal link. Specifically, the hormone
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A rare type, the "Beukes familial hip dysplasia" is found among
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Hashmi, Jamil; Basit, Sulman; Khoshhal, Khalid (August 2019).
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As an acquired condition it has been linked to traditions of
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Lynn T Staheli, Fundamentals of Pediatric Orthopedics, p 13
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Skaggs, David L.; Storer, Stephen K. (15 October 2006).
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Betsy Miller, The Parents' Guide to Hip Dysplasia, p 19.
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American College of Radiology Appropriateness Criteria
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Mabuchi A, Nakamura S, Takatori Y, Ikegawa S (2006).
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(1995). 2655:"Hip osteoarthritis and dysplasia in Chinese men" 2234:Dietz, Frederick R.; Speer, Linda (1 July 1999). 2229: 2227: 2021:"The Oxford hip score: the patient's perspective" 680: 3779: 2653:Lau EM, Lin F, Lam D, Silman A, Croft P (1995). 1230: 1228: 1186: 792: 462:Most vexingly, many newborn hips show a certain 2652: 2331: 1496:Journal of Musculoskeletal Surgery and Research 940: 938: 284:grows at too narrow an angle to the shaft, and 3788:Congenital disorders of musculoskeletal system 2752: 2224: 2118: 1355: 604:Equivocal physical examination or risk factors 585:Equivocal physical examination or risk factors 258:The condition can be bilateral or unilateral: 3099: 2921: 2828: 1687: 1524: 1225: 2822: 2696: 2549: 2480: 2157: 2065: 2019:Wylde V, Learmonth ID, Cavendish VJ (2005). 2012: 1681: 1552: 1415: 1386: 935: 351:to an 11-cM region on chromosome 4q35, with 2773: 2646: 1558: 1246: 1127: 1061: 1059: 1057: 1055: 1053: 1051: 1049: 1047: 1045: 410:X-Ray Image showing hip dysplasia in a baby 3106: 3092: 2233: 1752: 1392: 1180: 1043: 1041: 1039: 1037: 1035: 1033: 1031: 1029: 1027: 1025: 824:or by themselves to correct misalignment. 618:X-ray. Ultrasonography may be appropriate 385: 47: 2753:Sutherland, Denise; West, Sophie (2011). 2729: 2679: 2449:Attribution 4.0 International (CC BY 4.0) 2433: 2415: 2119:Sutherland, Denise; West, Sophie (2011). 2048: 2038: 1951: 1894: 1507: 1448: 1363:. Oxford University Press. Archived from 1356:Morcuende, Jose A.; Weinstein, Stuart L. 1316: 1083: 1008: 82:None, hip aches, one leg shorter, limping 2932:(4th ed.). W. B. Saunders Company. 2930:Textbook of Veterinary Internal Medicine 1811:French LM, Dietz FR; Dietz (July 1999). 1002:American Academy of Orthopaedic Surgeons 992: 990: 988: 986: 984: 982: 980: 978: 976: 797:Hip dysplasia is often cited as causing 510:and a dislocation developing after the " 405: 397: 389: 238: 2002:"Harris Hip Score - Orthopaedic Scores" 1106: 1022: 3780: 2362: 2360: 1294: 1292: 855: 3087: 2756:A Guide for Adults with Hip Dysplasia 2122:A Guide for Adults with Hip Dysplasia 973: 394:Îą and β angles used in hip ultrasound 234: 3627:Greig cephalopolysyndactyly syndrome 2160:"Developmental Dysplasia of the Hip" 820:are either used in conjunction with 781:In older children the adductor and 303:Hip dysplasia is considered to be a 2357: 1289: 753:Other devices employed include the 422:asymmetry of legs and asymmetrical 13: 3117:malformations and deformations of 2859:Developmental Dysplasia of the Hip 1149:10.1097/01.blo.0000201151.91206.50 757:, particularly following surgical 577:Usual appropriate initial imaging 543:Hip dysplasia can be diagnosed by 502:dysplasia (e.g. an underdeveloped 454:developmental dysplasia of the hip 379:by traditional swaddling methods. 288:, in which the angle is too wide. 14: 3799: 2950: 1238:. 29 January 2005. Archived from 882:. They are applied in grafting ( 343:). A locus has been described on 903: 878:One avenue of research is using 741: 729: 717: 705: 651: 639: 437:dysplasia of the hip is caused. 3300:Congenital patellar dislocation 3179:Wallis–Zieff–Goldblatt syndrome 2851: 2746: 2404:Radiology Research and Practice 2396:Initially largely copied from: 2194: 2125:. Lulu.com. pp. 7, 21–23. 2112: 2103: 1994: 1911: 1862: 1835: 1804: 1483: 1465: 1374: 1349: 827: 769:in babies and young children. 1216: 1171: 1100: 681:Harnesses, casts, and traction 481: 1: 2628:"Traction with DDH Treatment" 2373:American College of Radiology 966: 954:American College of Radiology 793:Hip replacement and osteotomy 712:Baby wearing a Pavlik harness 561: 322: 272:In acetabular dysplasia, the 219:may be needed. About 7.5% of 2759:. Lulu.com. pp. 56–59. 2576:10.1302/0301-620X.89B2.18057 1924:Paediatric and Neonatal Pain 1559:Mahan ST, Kasser JR (2008). 1475:. 6 May 2008. Archived from 663: 7: 3586:Oto-palato-digital syndrome 3581:Hallermann–Streiff syndrome 3305:Congenital knee dislocation 3123:musculoskeletal abnormality 2902:"ER - Out on a Limb (2006)" 2523:The Journal of Arthroplasty 1649:"Asymmetry Symptoms of DDH" 873: 358: 10: 3804: 3617:Craniodiaphyseal dysplasia 2957:Online orthopedic textbook 2535:10.1016/j.arth.2017.10.050 2089:10.1016/j.apmr.2005.01.008 1704:10.1177/003693300505000205 907: 860:In the television program 847: 776: 536: 532: 18: 3751: 3727: 3703: 3694: 3649: 3599: 3591:Treacher Collins syndrome 3561: 3533: 3524: 3515: 3481: 3442:reduction deficits / limb 3441: 3385: 3378: 3313: 3270: 3233: 3224: 3187: 3155: 3146: 3129: 3046: 2965: 2240:American Family Physician 2164:American Family Physician 2026:Health Qual Life Outcomes 1817:American Family Physician 1137:Clin. Orthop. Relat. Res. 802:treatment with total hip 724:Diagram of Pavlik harness 581: 432:restricted hip abduction. 298: 172:is an abnormality of the 159: 149: 131: 115: 98: 86: 76: 60: 55: 46: 38: 33: 3416:Cenani–Lenz syndactylism 3169:Cleidocranial dysostosis 2006:www.orthopaedicscore.com 1396:Tidsskr. Nor. Legeforen. 1107:Bentley, George (2009). 928: 736:Diagram of Frejka pillow 593:Physical findings of DDH 549:projectional radiography 163:1 in 1,000 (term babies) 155:Good (if detected early) 3563:Craniofacial dysostosis 2722:10.1136/ard.2003.009860 2491:Ortop Traumatol Rehabil 1509:10.4103/jmsr.jmsr_46_19 1393:Forsdahl A (2000). "". 1255:Arch Orthop Trauma Surg 1202:10.1002/ajmg.1320360403 478:occasionally used too. 386:Screening and diagnosis 3119:musculoskeletal system 2293:Cite journal requires 2206:faculty.washington.edu 2040:10.1186/1477-7525-3-66 1856:10.1001/jama.2024.2404 1579:10.1542/peds.2007-1618 1318:10.1542/peds.2016-3107 1085:10.1542/peds.2016-3107 910:Hip dysplasia (canine) 539:X-ray of hip dysplasia 411: 403: 395: 244: 3671:Klippel–Feil syndrome 2800:10.1542/peds.103.1.93 2672:10.1136/ard.54.12.965 2519:"Femoral Nerve Palsy" 2076:Arch Phys Med Rehabil 409: 401: 393: 242: 3681:Spina bifida occulta 3197:Madelung's deformity 3174:Sprengel's deformity 2590:on 24 December 2012. 2563:J Bone Joint Surg Br 2417:10.1155/2016/6369237 2246:(1): 177–84, 187–8. 1823:(1): 177–84, 187–8. 331:has been indicated. 208:may also be useful. 202:physical examination 21:Canine hip dysplasia 3499:RAPADILINO syndrome 1982:on 12 November 2020 1740:on 12 November 2020 1615:on 18 November 2020 1242:on 29 January 2005. 856:Society and culture 601:4 weeks - 4 months 567: 194:breech presentation 3361:Rocker bottom foot 3047:External resources 2634:on 4 December 2020 2608:on 4 December 2020 2468:on 22 October 2020 2345:on 4 December 2020 2319:on 4 December 2020 2280:. 20 October 2019. 2182:on 16 October 2008 1936:10.1002/pne2.12006 1792:on 20 October 2020 1766:on 4 December 2020 1655:on 25 October 2020 1429:Am. J. Hum. Genet. 1267:10.1007/BF00393711 1190:Am. J. Med. Genet. 692:avascular necrosis 566:for hip dysplasia 562: 464:ligamentous laxity 412: 404: 396: 245: 235:Signs and symptoms 3775: 3774: 3771: 3770: 3767: 3766: 3696:Thoracic skeleton 3676:Spondylolisthesis 3645: 3644: 3511: 3510: 3507: 3506: 3374: 3373: 3220: 3219: 3081: 3080: 2832:Bratisl Lek Listy 2766:978-0-9872152-0-8 2132:978-0-9872152-0-8 1887:10.1111/apa.14588 783:iliopsoas muscles 632: 631: 442:Ortolani maneuver 313:African Americans 178:joint dislocation 167: 166: 117:Diagnostic method 28:Medical condition 16:Joint abnormality 3795: 3743:Pectus carinatum 3738:Pectus excavatum 3701: 3700: 3659:Spinal curvature 3651:Vertebral column 3571:Crouzon syndrome 3535:Craniosynostosis 3531: 3530: 3522: 3521: 3387:fingers and toes 3383: 3382: 3295:Discoid meniscus 3252:Upington disease 3231: 3230: 3153: 3152: 3144: 3143: 3108: 3101: 3094: 3085: 3084: 2963: 2962: 2944: 2943: 2925: 2919: 2918: 2916: 2914: 2898: 2892: 2891: 2889: 2887: 2878:. Archived from 2872: 2866: 2855: 2849: 2848: 2826: 2820: 2819: 2777: 2771: 2770: 2750: 2744: 2743: 2733: 2710:Ann. Rheum. Dis. 2700: 2694: 2693: 2683: 2660:Ann. Rheum. Dis. 2650: 2644: 2643: 2641: 2639: 2630:. Archived from 2624: 2618: 2617: 2615: 2613: 2604:. Archived from 2598: 2592: 2591: 2586:. Archived from 2553: 2547: 2546: 2529:(4): 1194–1199. 2514: 2508: 2507: 2484: 2478: 2477: 2475: 2473: 2464:. Archived from 2462:"Pavlik Harness" 2458: 2452: 2447: 2437: 2419: 2394: 2379: 2377: 2364: 2355: 2354: 2352: 2350: 2341:. Archived from 2335: 2329: 2328: 2326: 2324: 2315:. Archived from 2309: 2303: 2302: 2296: 2291: 2289: 2281: 2274: 2268: 2267: 2265: 2263: 2254:. Archived from 2231: 2222: 2221: 2219: 2217: 2208:. Archived from 2198: 2192: 2191: 2189: 2187: 2178:. Archived from 2170:(8): 1310–1316. 2155: 2149: 2148: 2146: 2144: 2139:on 10 April 2013 2135:. Archived from 2116: 2110: 2107: 2101: 2100: 2069: 2063: 2062: 2052: 2042: 2016: 2010: 2009: 1998: 1992: 1991: 1989: 1987: 1978:. Archived from 1972: 1966: 1965: 1955: 1915: 1909: 1908: 1898: 1875:Acta Paediatrica 1866: 1860: 1859: 1839: 1833: 1832: 1808: 1802: 1801: 1799: 1797: 1788:. Archived from 1782: 1776: 1775: 1773: 1771: 1762:. Archived from 1756: 1750: 1749: 1747: 1745: 1736:. Archived from 1730: 1724: 1723: 1685: 1679: 1678: 1671: 1665: 1664: 1662: 1660: 1651:. Archived from 1645: 1639: 1638: 1631: 1625: 1624: 1622: 1620: 1611:. Archived from 1605: 1599: 1598: 1556: 1550: 1549: 1542: 1536: 1535: 1534:. 13 April 2020. 1528: 1522: 1521: 1511: 1487: 1481: 1480: 1469: 1463: 1462: 1452: 1419: 1413: 1412: 1399:(in Norwegian). 1390: 1384: 1378: 1372: 1371: 1370:on 26 July 2011. 1369: 1362: 1353: 1347: 1346: 1320: 1311:(6): e20163107. 1296: 1287: 1286: 1250: 1244: 1243: 1232: 1223: 1220: 1214: 1213: 1184: 1178: 1175: 1169: 1168: 1131: 1125: 1124: 1104: 1098: 1097: 1087: 1078:(6): e20163107. 1063: 1020: 1019: 1012: 1006: 1005: 994: 960: 958: 942: 898:progenitor cells 837:Native Americans 759:closed reduction 745: 733: 721: 709: 697:iliopsoas muscle 655: 643: 607:Ultrasonography 596:Ultrasonography 568: 337:Native Americans 221:hip replacements 204:is recommended. 104:Family history, 51: 31: 30: 3803: 3802: 3798: 3797: 3796: 3794: 3793: 3792: 3778: 3777: 3776: 3763: 3759:Poland syndrome 3747: 3723: 3690: 3641: 3595: 3557: 3503: 3494:Larsen syndrome 3482:multiple joints 3477: 3437: 3370: 3309: 3290:Genu recurvatum 3266: 3243:Hip dislocation 3216: 3183: 3133: 3125: 3112: 3082: 3077: 3076: 3042: 3041: 2974: 2953: 2948: 2947: 2940: 2926: 2922: 2912: 2910: 2900: 2899: 2895: 2885: 2883: 2882:on 9 April 2008 2874: 2873: 2869: 2856: 2852: 2827: 2823: 2778: 2774: 2767: 2751: 2747: 2701: 2697: 2651: 2647: 2637: 2635: 2626: 2625: 2621: 2611: 2609: 2600: 2599: 2595: 2554: 2550: 2515: 2511: 2485: 2481: 2471: 2469: 2460: 2459: 2455: 2395: 2382: 2366: 2365: 2358: 2348: 2346: 2337: 2336: 2332: 2322: 2320: 2311: 2310: 2306: 2294: 2292: 2283: 2282: 2276: 2275: 2271: 2261: 2259: 2232: 2225: 2215: 2213: 2212:on 10 June 2017 2200: 2199: 2195: 2185: 2183: 2156: 2152: 2142: 2140: 2133: 2117: 2113: 2108: 2104: 2070: 2066: 2017: 2013: 2000: 1999: 1995: 1985: 1983: 1974: 1973: 1969: 1916: 1912: 1867: 1863: 1840: 1836: 1809: 1805: 1795: 1793: 1784: 1783: 1779: 1769: 1767: 1758: 1757: 1753: 1743: 1741: 1732: 1731: 1727: 1686: 1682: 1673: 1672: 1668: 1658: 1656: 1647: 1646: 1642: 1633: 1632: 1628: 1618: 1616: 1607: 1606: 1602: 1557: 1553: 1548:. 22 July 2020. 1544: 1543: 1539: 1530: 1529: 1525: 1488: 1484: 1471: 1470: 1466: 1420: 1416: 1391: 1387: 1379: 1375: 1367: 1360: 1354: 1350: 1297: 1290: 1251: 1247: 1234: 1233: 1226: 1221: 1217: 1185: 1181: 1176: 1172: 1132: 1128: 1121: 1105: 1101: 1064: 1023: 1014: 1013: 1009: 1004:. October 2013. 996: 995: 974: 969: 964: 963: 947: 945: 943: 936: 931: 912: 906: 876: 858: 850: 830: 812:Hip resurfacing 808:hip replacement 795: 779: 749: 746: 737: 734: 725: 722: 713: 710: 683: 666: 659: 656: 647: 644: 615:Concern for DDH 541: 535: 484: 446:Barlow maneuver 388: 365:breech position 361: 325: 301: 280:, in which the 237: 206:Ultrasonography 192:practices, and 184:, limping, and 29: 24: 17: 12: 11: 5: 3801: 3791: 3790: 3773: 3772: 3769: 3768: 3765: 3764: 3762: 3761: 3755: 3753: 3749: 3748: 3746: 3745: 3740: 3734: 3732: 3725: 3724: 3722: 3721: 3716: 3710: 3708: 3698: 3692: 3691: 3689: 3688: 3683: 3678: 3673: 3668: 3667: 3666: 3655: 3653: 3647: 3646: 3643: 3642: 3640: 3639: 3634: 3629: 3624: 3622:Dolichocephaly 3619: 3614: 3609: 3603: 3601: 3597: 3596: 3594: 3593: 3588: 3583: 3578: 3573: 3567: 3565: 3559: 3558: 3556: 3555: 3553:Trigonocephaly 3550: 3545: 3539: 3537: 3528: 3526:Skull and face 3519: 3513: 3512: 3509: 3508: 3505: 3504: 3502: 3501: 3496: 3491: 3489:Arthrogryposis 3485: 3483: 3479: 3478: 3476: 3475: 3474: 3473: 3468: 3463: 3451: 3445: 3443: 3439: 3438: 3436: 3435: 3434: 3433: 3423: 3418: 3413: 3411:Arachnodactyly 3408: 3407: 3406: 3391: 3389: 3380: 3376: 3375: 3372: 3371: 3369: 3368: 3363: 3358: 3353: 3352: 3351: 3339: 3338: 3337: 3332: 3319: 3317: 3315:foot deformity 3311: 3310: 3308: 3307: 3302: 3297: 3292: 3287: 3282: 3276: 3274: 3268: 3267: 3265: 3264: 3259: 3254: 3249: 3239: 3237: 3228: 3222: 3221: 3218: 3217: 3215: 3214: 3209: 3204: 3199: 3193: 3191: 3189:hand deformity 3185: 3184: 3182: 3181: 3176: 3171: 3165: 3163: 3150: 3141: 3127: 3126: 3111: 3110: 3103: 3096: 3088: 3079: 3078: 3075: 3074: 3063: 3051: 3050: 3048: 3044: 3043: 3040: 3039: 3028: 3017: 3006: 2991: 2975: 2970: 2969: 2967: 2966:Classification 2960: 2959: 2952: 2951:External links 2949: 2946: 2945: 2938: 2920: 2893: 2867: 2850: 2821: 2772: 2765: 2745: 2695: 2645: 2619: 2593: 2548: 2509: 2479: 2453: 2380: 2356: 2330: 2304: 2295:|journal= 2269: 2258:on 6 July 2008 2223: 2193: 2150: 2131: 2111: 2102: 2083:(7): 1369–75. 2064: 2011: 1993: 1967: 1910: 1881:(4): 626–629. 1861: 1834: 1803: 1777: 1751: 1725: 1680: 1677:. 5 July 2023. 1666: 1640: 1637:. 28 May 2020. 1626: 1600: 1551: 1537: 1523: 1482: 1479:on 6 May 2008. 1464: 1441:10.1086/505088 1414: 1403:(22): 2672–3. 1385: 1373: 1348: 1288: 1245: 1224: 1215: 1179: 1170: 1126: 1119: 1099: 1021: 1007: 971: 970: 968: 965: 962: 961: 933: 932: 930: 927: 908:Main article: 905: 902: 875: 872: 857: 854: 849: 846: 829: 826: 799:osteoarthritis 794: 791: 778: 775: 763:open reduction 751: 750: 747: 740: 738: 735: 728: 726: 723: 716: 714: 711: 704: 682: 679: 665: 662: 661: 660: 658:Hip dysplasia. 657: 650: 648: 645: 638: 630: 629: 626: 624: 620: 619: 616: 613: 609: 608: 605: 602: 598: 597: 594: 590: 589: 586: 583: 579: 578: 575: 572: 534: 531: 483: 480: 434: 433: 430: 427: 402:Hip ultrasound 387: 384: 360: 357: 324: 321: 305:multifactorial 300: 297: 267: 266: 263: 236: 233: 198:identical twin 165: 164: 161: 157: 156: 153: 147: 146: 133: 129: 128: 119: 113: 112: 102: 96: 95: 90: 84: 83: 80: 74: 73: 64: 58: 57: 53: 52: 44: 43: 40: 36: 35: 27: 15: 9: 6: 4: 3: 2: 3800: 3789: 3786: 3785: 3783: 3760: 3757: 3756: 3754: 3750: 3744: 3741: 3739: 3736: 3735: 3733: 3730: 3726: 3720: 3717: 3715: 3712: 3711: 3709: 3706: 3702: 3699: 3697: 3693: 3687: 3686:Sacralization 3684: 3682: 3679: 3677: 3674: 3672: 3669: 3665: 3662: 3661: 3660: 3657: 3656: 3654: 3652: 3648: 3638: 3635: 3633: 3632:Plagiocephaly 3630: 3628: 3625: 3623: 3620: 3618: 3615: 3613: 3610: 3608: 3605: 3604: 3602: 3598: 3592: 3589: 3587: 3584: 3582: 3579: 3577: 3576:Hypertelorism 3574: 3572: 3569: 3568: 3566: 3564: 3560: 3554: 3551: 3549: 3546: 3544: 3543:Scaphocephaly 3541: 3540: 3538: 3536: 3532: 3529: 3527: 3523: 3520: 3518: 3514: 3500: 3497: 3495: 3492: 3490: 3487: 3486: 3484: 3480: 3472: 3469: 3467: 3464: 3462: 3459: 3458: 3457: 3456: 3452: 3450: 3447: 3446: 3444: 3440: 3432: 3429: 3428: 3427: 3426:Brachydactyly 3424: 3422: 3419: 3417: 3414: 3412: 3409: 3405: 3402: 3401: 3400: 3396: 3393: 3392: 3390: 3388: 3384: 3381: 3379:Either / both 3377: 3367: 3364: 3362: 3359: 3357: 3354: 3350: 3347: 3346: 3345: 3344: 3340: 3336: 3333: 3331: 3328: 3327: 3326: 3325: 3321: 3320: 3318: 3316: 3312: 3306: 3303: 3301: 3298: 3296: 3293: 3291: 3288: 3286: 3283: 3281: 3278: 3277: 3275: 3273: 3269: 3263: 3260: 3258: 3255: 3253: 3250: 3248: 3247:Hip dysplasia 3244: 3241: 3240: 3238: 3236: 3232: 3229: 3227: 3223: 3213: 3210: 3208: 3205: 3203: 3200: 3198: 3195: 3194: 3192: 3190: 3186: 3180: 3177: 3175: 3172: 3170: 3167: 3166: 3164: 3162: 3158: 3154: 3151: 3149: 3145: 3142: 3140: 3136: 3132: 3128: 3124: 3120: 3116: 3109: 3104: 3102: 3097: 3095: 3090: 3089: 3086: 3073: 3069: 3068: 3064: 3062: 3058: 3057: 3053: 3052: 3049: 3045: 3038: 3034: 3033: 3029: 3027: 3023: 3022: 3018: 3016: 3012: 3011: 3007: 3005: 3001: 3000: 2996: 2992: 2990: 2986: 2985: 2981: 2977: 2976: 2973: 2968: 2964: 2958: 2955: 2954: 2941: 2939:0-7216-6795-3 2935: 2931: 2924: 2909: 2908: 2903: 2897: 2881: 2877: 2871: 2865: 2861: 2860: 2854: 2846: 2842: 2838: 2834: 2833: 2825: 2817: 2813: 2809: 2805: 2801: 2797: 2793: 2789: 2788: 2783: 2776: 2768: 2762: 2758: 2757: 2749: 2741: 2737: 2732: 2727: 2723: 2719: 2715: 2712: 2711: 2706: 2699: 2691: 2687: 2682: 2677: 2673: 2669: 2666:(12): 965–9. 2665: 2662: 2661: 2656: 2649: 2633: 2629: 2623: 2607: 2603: 2597: 2589: 2585: 2581: 2577: 2573: 2569: 2565: 2564: 2559: 2552: 2544: 2540: 2536: 2532: 2528: 2524: 2520: 2513: 2505: 2501: 2497: 2493: 2492: 2483: 2467: 2463: 2457: 2450: 2445: 2441: 2436: 2431: 2427: 2423: 2418: 2413: 2409: 2405: 2401: 2393: 2391: 2389: 2387: 2385: 2375: 2374: 2369: 2363: 2361: 2344: 2340: 2334: 2318: 2314: 2308: 2300: 2287: 2279: 2273: 2257: 2253: 2249: 2245: 2241: 2237: 2230: 2228: 2211: 2207: 2203: 2197: 2181: 2177: 2173: 2169: 2165: 2161: 2154: 2138: 2134: 2128: 2124: 2123: 2115: 2106: 2098: 2094: 2090: 2086: 2082: 2078: 2077: 2068: 2060: 2056: 2051: 2046: 2041: 2036: 2032: 2028: 2027: 2022: 2015: 2007: 2003: 1997: 1981: 1977: 1971: 1963: 1959: 1954: 1949: 1945: 1941: 1937: 1933: 1929: 1925: 1921: 1914: 1906: 1902: 1897: 1892: 1888: 1884: 1880: 1876: 1872: 1865: 1857: 1853: 1849: 1845: 1838: 1830: 1826: 1822: 1818: 1814: 1807: 1791: 1787: 1781: 1765: 1761: 1755: 1739: 1735: 1729: 1721: 1717: 1713: 1709: 1705: 1701: 1697: 1693: 1692: 1684: 1676: 1670: 1654: 1650: 1644: 1636: 1630: 1614: 1610: 1604: 1596: 1592: 1588: 1584: 1580: 1576: 1572: 1568: 1567: 1562: 1555: 1547: 1541: 1533: 1527: 1519: 1515: 1510: 1505: 1501: 1497: 1493: 1486: 1478: 1474: 1468: 1460: 1456: 1451: 1446: 1442: 1438: 1434: 1431: 1430: 1425: 1418: 1410: 1406: 1402: 1398: 1397: 1389: 1382: 1377: 1366: 1359: 1352: 1344: 1340: 1336: 1332: 1328: 1324: 1319: 1314: 1310: 1306: 1302: 1295: 1293: 1284: 1280: 1276: 1272: 1268: 1264: 1261:(4): 209–12. 1260: 1256: 1249: 1241: 1237: 1231: 1229: 1219: 1211: 1207: 1203: 1199: 1196:(4): 386–90. 1195: 1192: 1191: 1183: 1174: 1166: 1162: 1158: 1154: 1150: 1146: 1142: 1139: 1138: 1130: 1122: 1120:9783642009662 1116: 1112: 1111: 1103: 1095: 1091: 1086: 1081: 1077: 1073: 1069: 1062: 1060: 1058: 1056: 1054: 1052: 1050: 1048: 1046: 1044: 1042: 1040: 1038: 1036: 1034: 1032: 1030: 1028: 1026: 1017: 1011: 1003: 999: 993: 991: 989: 987: 985: 983: 981: 979: 977: 972: 956: 955: 950: 941: 939: 934: 926: 924: 919: 917: 911: 904:Other animals 901: 899: 896: 892: 889: 885: 884:bone grafting 881: 871: 869: 865: 864: 853: 845: 843: 838: 834: 825: 823: 819: 815: 813: 809: 805: 800: 790: 788: 784: 774: 772: 768: 764: 760: 756: 744: 739: 732: 727: 720: 715: 708: 703: 702: 701: 698: 693: 689: 688:femoral nerve 678: 676: 670: 654: 649: 642: 637: 636: 635: 627: 625: 623:>6 months 622: 621: 617: 614: 612:4 – 6 months 611: 610: 606: 603: 600: 599: 595: 592: 591: 587: 584: 580: 576: 573: 570: 569: 565: 560: 557: 554: 550: 546: 540: 530: 528: 524: 523:developmental 519: 515: 513: 509: 505: 501: 497: 494:and is still 493: 488: 479: 475: 473: 467: 465: 460: 457: 455: 449: 447: 443: 438: 431: 428: 425: 424:gluteal folds 421: 420: 419: 417: 408: 400: 392: 383: 380: 377: 373: 368: 366: 356: 354: 350: 346: 345:chromosome 13 342: 338: 332: 330: 320: 318: 315:and southern 314: 308: 306: 296: 294: 289: 287: 283: 279: 275: 270: 264: 261: 260: 259: 256: 254: 250: 241: 232: 230: 224: 222: 218: 214: 209: 207: 203: 199: 195: 191: 187: 186:low back pain 183: 179: 175: 171: 170:Hip dysplasia 162: 158: 154: 152: 148: 145: 141: 137: 134: 130: 127: 123: 122:Physical exam 120: 118: 114: 111: 107: 103: 101: 97: 94: 91: 89: 88:Complications 85: 81: 79: 75: 72: 68: 65: 63: 59: 54: 50: 45: 41: 37: 34:Hip dysplasia 32: 26: 22: 3607:Macrocephaly 3453: 3449:Acheiropodia 3421:Ectrodactyly 3341: 3322: 3246: 3207:Oligodactyly 3202:Clinodactyly 3131:Appendicular 3072:orthoped/456 3065: 3054: 3030: 3019: 3008: 2993: 2978: 2929: 2923: 2911:. 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Index

Canine hip dysplasia

Specialty
Pediatrics
orthopedics
Symptoms
Complications
Arthritis
Risk factors
swaddling
breech birth
Diagnostic method
Physical exam
ultrasound
Bracing
casting
surgery
Prognosis
hip joint
joint dislocation
arthritis
low back pain
swaddling
breech presentation
identical twin
physical examination
Ultrasonography
bracing
casting
hip replacements

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