Congenital Abduction Contracture of the Hip

Aka: Congenital Abduction Contracture of the Hip, Acetabular Dysplasia

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II. Pathophysiology

  1. Unilateral congenital abduction contracture of hip
    1. Contracture side of Pelvis tilted downward
  2. Opposite hip acetabulum develops poorly
    1. May result in dysplasia of the acetabulum

III. Signs: Present after 6 weeks of life

  1. Affected Leg appears shorter
  2. Asymmetric gluteal folds

IV. Complications

  1. Dysplasia of the acetabulum
    1. Predisposes to hip subluxation

V. Management

  1. Pavlik harness
    1. Splints hips in flexed and abducted position
  2. Surgical management
    1. Indicated for persistent signs after 8 months of age

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Ontology: DEVELOPMENTAL DYSPLASIA OF THE HIP 1 (C1306065)

Concepts Anatomical Abnormality (T190) , Disease or Syndrome (T047)
English Acetabular dysplasia, DDH1, ACETABULAR DYSPLASIA, DEVELOPMENTAL DYSPLASIA OF THE HIP 1
Czech Dysplazie acetabula
Dutch acetabulaire dysplasie
French Dysplasie acétabulaire
German Acetabulumdysplasie
Hungarian Acetabularis dysplasia
Italian Displasia dell'acetabolo
Japanese ｷｭｳｶﾞｲｹｲｾｲﾌｾﾞﾝ, 臼蓋形成不全
Portuguese Displasia acetabular
Spanish Displasia acetabular
Derived from the NIH UMLS (Unified Medical Language System)

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