The purpose of this paper is to describe a method of overcoming the instability of reduction in congenital dislocation and subluxation of the hip in children over the age of eighteen months. Despite the emphasis on early diagnosis and treatment, and although there is a great increase in the number of infants referred early, a disturbing number of children still remain undiagnosed until some tim...

BACKGROUND Nationally representative estimates of treatment rates for congenital dislocation of the hip were required to inform a review of the current United Kingdom screening policy. Cases were ascertained through an active reporting scheme involving orthopaedic surgeons and the existing British Paediatric Association Surveillance Unit (BPASU) scheme. OBJECTIVE To report the methods used to...

The entity passing under the name of congenital dislocation of the hip is so complex that the sense of privilege in contributing to this special issue of the Journal in honour of Sir Thomas Fairbank does not completely offset a feeling of awe engendered not only by the occasion but also by the vastness of the subject. With a similar feeling Isaak Walton must have approached his task ofwriting t...

Routine ultrasound evaluation of neonates and young infants for congenital dislocation of the hip has been recommended. We have used the methods of decision analysis to determine whether every neonate should be examined by ultrasound or just those at increased risk. We have also studied the reliability and accuracy of ultrasound in following infants during observation and treatment, using publi...

dren's fractures, though perhaps he is best known for his description in 1832 of the contracture of the palmar aponeurosis that was named after him. However, in retrospect, probably his most important contribution was in relation to congenital dislocation of the hip. Although this condition had been discussed in Hippocratic times and mentioned occasionally by other writers, it is to Dupuytren that

INTRODUCTION development dysplasia of the hip is one of the common disorders in pediatric orthopaedics. This requires an early orthopaedic treatment. Neglected cases can lead to hip dislocation, which has an incidence of 1.4 / mille new-borns, being bilateral in 70-80% of cases and prevalence of girls being 7 / 1-4 / 1 (girls / boys). Congenital hip dislocation requires a complex surgical and o...

PURPOSE There is an association between winter birth and developmental dysplasia of the hip, formerly termed congenital dislocation of the hip. The purpose of this study was to clarify the relationship between the month and season of birth and hip osteoarthritis in Japanese patients who had undergone total hip arthroplasty or transpositional osteotomy of the acetabulum. METHODS One thousand e...

Of 4,617 babies born in Coventry in 1986, a total of 448 (9.7%) had either clinical abnormality of the hip or at risk factors for CDH. All were examined by ultrasound, but only 17 required treatment (3.7 per 1,000); in five of these no clinical abnormality had been detected. An additional 81 babies had ultrasound abnormalities but did not require treatment, despite the fact that ultrasound at f...

Congenital dislocation of the knee was described by Chatelaine in 1822 (quoted by Shattock 1891) and then by Bord in 1834 (quoted by Forgon and Szentp#{233}tery 1961). It was at first thought to be more common in girls, but in a review of a larger series of cases the sex distribution was found to be equal (Provenzano 1947). Kopits (1925) reviewed 2,393 patients with congenital anomalies and fou...

The aim of this study is to assess the early results of conservative treatment of congenital dislocation of the hip and to draw attention to the factors that influence the results. Recently some authorities have suggested that conservative treatment will be abandoned, because it has failed to produce the required results, and that it will be replaced by routine operative treatment (Trevor 1957,...