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Surgical Treatment for Dysplastic Hip - Cincinnati Children's
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Abnormal hip anatomy results in abnormal hip mechanical behavior, which in turn, causes more anatomical abnormalities. This may cause activity-related groin pain. Although screening infants for DDH has been widely advocated, less attention has been devoted towards the risk factors, early detection of, and treatment considerations in adolescent-onset acetabular dysplasia. The most severely dysplastic and unstable hip is the developmentally dislocated hip that is often caught in infancy. Hip dysplasia is more common in women than in men, a phenomenon that may be due to anatomical differences in the female pelvis and the tendency for women to have greater laxity looseness in their ligaments. This site is best viewed with a modern browser. Surgical Treatment Patients with hip dysplasia who experience pain and have limited damage to their cartilage may be candidates for periacetabular osteotomy PAO. Causes and Incidence The cause of abnormal development of the acetabulum is not yet well understood, although there appears to be a relationship between the position of the fetus in the womb, breech births, and a family history of dysplasia. In order to be eligible for PAO, the patient must have reached or be close to reaching skeletal maturity; the low end of the age range is about eleven years. First pregnancy Breech presentation Risk factors Hip dysplasia tends to run in families and is more common in girls.
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