What is Adult Congenital Hip Dislocation (Hip Dysplasia)?
Hip dysplasia is the incomplete development of the hip socket that holds the hip in place. This causes partial or complete dislocation of the hip joint. Most people with hip dysplasia are born with the condition.
Milder hip dysplasia may not begin to cause symptoms until adulthood. Over time, it can damage the cartilage that covers the joint, and it can also damage the soft cartilage (labrum) that surrounds the socket of the hip joint. This causes hip calcification over time
What are the Symptoms of Adult Congenital Hip Dislocation (Hip Dysplasia)?
In fact, it is the continuation of congenital hip dislocation during adolescence and adulthood, causing the following symptoms in adult patients;
- to groin pain
- abnormal gait,
- To the leg inequality,
- Restricted hip movements (especially limitation in outward opening),
- Hip calcification.
What are the Causes of Adult Congenital Hip Dislocation (Hip Dysplasia)?
Most people with hip dysplasia are born with the condition. Hip dysplasia can develop if the baby’s position in the womb puts pressure on the hips. It can also be genetic (run through families). However, arson is also accused.
Erişkin Doğuştan Kalça Çıkığında (Kalça Displazisi) Tanı Nasıl Konur?
Frequently, your doctor will order an X-ray examination after a physical examination. In some mild cases, CT and MRI scans provide useful information to aid diagnosis.
What are the Types of Adult Congenital Hip Dislocation (Hip Dysplasia)?
|Tip 1||Proximal displacement less than 10% of pelvis height or 50% of femoral head size|
|Tip 2||Proximal displacement of 10-15% of pelvis height or 50-75% of femoral head size|
|Tip 3||Proximal displacement of 15–20% of pelvis height or 75–100% of femoral head size.|
|Tip 4||Proximal displacement greater than 20% of pelvis height or 100% of femoral head size.|
Classification system of congenital hip dislocation in adults according to Crowe et al.
|dysplasia||Despite the degree of subluxation, the femoral head is contained within the original acetabulum.|
|Low Projection||The femoral head articulates with a false acetabulum that partially covers the true acetabulum to varying degrees.|
|High Dislocation||The femoral head is completely outside the true acetabulum and is displaced upwards and posteriorly to varying degrees.|
Classification system of congenital hip dislocation in adults according to Hartofilakidis et al.
What are the Treatment Options in Adult Congenital Hip Dislocation (Hip Dysplasia)?
These treatments include physiotherapy (to strengthen muscles), activity restriction, and possibly weight loss. Although useful as part of surgical interventions, non-surgical measures to treat dysplasia symptoms do not cure the underlying mechanical problems.
Surgical treatment of hip dysplasia is always more successful before excessive joint damage occurs. Once lost in cartilage, it cannot be replaced. The purpose of the surgery is to slow or stop the progression of cartilage loss.
Surgical treatment options include:
Periacetabular osteotomy (PAO); This is the primary surgical treatment for hip dysplasia. Only realignment surgery such as PAO can correct the underlying mechanical problem and abnormal orientation of the acetabulum.
Hip Arthroscopy; This technique involves two to three small incisions that allow the insertion of a camera and small instruments into the hip joint. Arthroscopy alone cannot correct the main problem of acetabular dysplasia, but it can be useful in repairing labral tears or treating impingement.
Hip Arthrotomy; It is the process of opening the capsule surrounding the hip joint. Some minor problems in the labrum and femoral head can be treated with this procedure. This is sometimes done at the same time as the PAO.
Osteoplasty; This includes using special surgical instruments to shave off the bone on the femoral head or acetabulum that may be causing the compression.
Total Hip Replacement (TKP); It is the replacement of an calcified joint with an artificial joint.