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The correlation of arthrography with the results of treatment in late diagnosed congenital dislocation of the hip

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Summary

The aim of this study was to assess the value of arthrography of the hip in the investigation of late diagnosed congenital dislocation. The results of the treatment of 109 hips were related to the findings at arthrography. The hip radiographs at follow-up were normal in all cases where the arthrogram had demonstrated a congruent reduction (86). When the arthrogram had indicated a block in reduction the results were less favourable, and dysplasia or subluxation was present at follow-up in 19 cases, despite repeated conservative or operative treatment. Four hips appeared normal after operation.

Arthrography gave valuable information and showed good correlation with the results of treatment.

Résumé

Le but de ce travail est d'évaluer l'intérêt de l'arthrographie dans le bilan des luxations congénitales de la hanche dépistées tardivement. Les résultats du traitement de 109 hanches ont été comparés aux données de l'arthrographie. Au cours de la surveillance les radiographies de contrôle étaient normales dans tous les cas (86) où l'arthrographie avait montré une réduction parfaite. Quand l'arthrographie avait décelé un obstacle à la réduction les résultats étaient moins bons et il persistait une dysplasie ou une subluxation dans 19 cas, malgré la reprise d'un traitement orthopédique ou chirurgical. Quatre hanches paraissaient normales après intervention.

L'arthrographie fournit donc des renseignements valables qui concordent bien avec les résultats du traitement.

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Author information

Correspondence to H. Saraste.

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Saraste, H., Aparisi, T. The correlation of arthrography with the results of treatment in late diagnosed congenital dislocation of the hip. International Orthopaedics 11, 83–87 (1987). https://doi.org/10.1007/BF00266691

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Key words

  • Arthrography
  • Congenital dislocation of the hip
  • Late diagnosis