Acetabular Dysplasia

  • Eustathios Kenanidis
  • Panagiotis Kakoulidis
  • Eleftherios TsiridisEmail author
  • Bülent Atilla
  • Goran Bicanic
  • Zoran Sulje
  • Domagoj Delimar
  • Stanislav Bondarenko
  • Volodymyr Filippenko
  • Mandus Akonjom
  • Zoltán Csernátony
  • Gergely Huszanyik
  • László Kiss
  • Richard L. Purcell
  • Charles A. EnghJr
  • Hiroshi Fujita
  • John B. Meding
  • E. Michael Keating
  • Tatsuya Sueyoshi
  • Per Wretenberg
  • Sebastian Mukka
  • Ahmad S. Khaled
  • Sujith Konan
  • Fares S. Haddad
  • Gyula Győrfi
  • Lei Zhang
  • Chitranjan S. Ranawat
  • Michael Gaudiani
  • Ibrahim Azboy
  • Antonia F. Chen
  • Richard Rothman
  • Volker Otten
  • Arkan S. Sayed-Noor
  • Alberto V. Carli
  • Lazaros Poultsides
  • Seth A. Jerabek
  • Kalliopi Lampropoulou-Adamidou
  • George Hartofilakidis


Developmental dysplasia of the hip (DDH) is the most common childhood hip disorder [1]; its prevalence however shows remarkable ethnic changes [2, 3]. The anatomical and biomechanical alterations of the acetabulum, femur and pelvis in DDH predispose to hip OA development [4]. Possible deformities encountered in different types of the disease are:
  1. 1.

    The true acetabulum may be shallow with full contact with the femoral head or partly connected with a false acetabulum or severely small, shallow and triangular with complete loss of congruency with femoral head [5].

  2. 2.

    Limited bone stock and usually anterior acetabular segmental wall defects. Bone stock is usually rearranged posteriorly related to acetabulum [6, 7].

  3. 3.

    Version deformities of the acetabulum; up to 1/3 are retroverted [6, 8, 9].

  4. 4.

    Insufficient coverage of femoral head from acetabulum.

  5. 5.

    Anteversion of the iliac rim [6].

  6. 6.

    Femoral hypoplasia with loss of metaphyseal flare [10].

  7. 7.

    Narrow and straight femoral intramedullary canal [11, 12].

  8. 8.

    Marked femoral anteversion and torsion and short neck [10, 13].

  9. 9.

    Coxavalga and lower offset [6].

  10. 10.

    Posterior position of the greater trochanter [6, 13].

  11. 11.

    Proximal femoral deformity from previous osteotomies [10, 13].

  12. 12.

    Distorted hip biomechanics with shortening and deficiency of abductors, flexors and extensors due to persistent dislocation [6].

  13. 13.

    Abundant soft tissue (capsule and ligaments) [6].

  14. 14.

    Unilateral limping and LLD.



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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Eustathios Kenanidis
    • 1
  • Panagiotis Kakoulidis
    • 1
  • Eleftherios Tsiridis
    • 2
    Email author
  • Bülent Atilla
    • 3
  • Goran Bicanic
    • 4
  • Zoran Sulje
    • 5
  • Domagoj Delimar
    • 6
    • 7
  • Stanislav Bondarenko
    • 8
  • Volodymyr Filippenko
    • 8
  • Mandus Akonjom
    • 8
  • Zoltán Csernátony
    • 9
  • Gergely Huszanyik
    • 10
  • László Kiss
    • 9
  • Richard L. Purcell
    • 11
    • 12
  • Charles A. EnghJr
    • 11
    • 13
  • Hiroshi Fujita
    • 14
  • John B. Meding
    • 15
  • E. Michael Keating
    • 15
  • Tatsuya Sueyoshi
    • 16
  • Per Wretenberg
    • 17
  • Sebastian Mukka
    • 18
  • Ahmad S. Khaled
    • 19
  • Sujith Konan
    • 20
  • Fares S. Haddad
    • 19
  • Gyula Győrfi
    • 9
  • Lei Zhang
    • 9
  • Chitranjan S. Ranawat
    • 21
  • Michael Gaudiani
    • 22
  • Ibrahim Azboy
    • 23
  • Antonia F. Chen
    • 24
    • 25
  • Richard Rothman
    • 26
  • Volker Otten
    • 18
  • Arkan S. Sayed-Noor
    • 18
  • Alberto V. Carli
    • 21
  • Lazaros Poultsides
    • 27
    • 28
  • Seth A. Jerabek
    • 21
    • 29
  • Kalliopi Lampropoulou-Adamidou
    • 30
  • George Hartofilakidis
    • 30
  1. 1.Academic Orthopaedic Unit, Aristotle University Medical SchoolThessalonikiGreece
  2. 2.Academic Orthopaedic Unit, Papageorgiou General HospitalAristotle University Medical SchoolThessalonikiGreece
  3. 3.Faculty of MedicineHacettepe UniversityAnkaraTurkey
  4. 4.Al Zahra Hospital DubaiDubaiUAE
  5. 5.Department of Orthopaedic Surgery and TraumatologyUniversity Hospital Centre ZagrebZagrebCroatia
  6. 6.University of Zagreb, School of MedicineZagrebCroatia
  7. 7.Department of Orthopaedic SurgeryUniversity Hospital Centre ZagrebZagrebCroatia
  8. 8.Department of Joint PathologySytenko Institute of Spine and Joint PathologyKharkivUkraine
  9. 9.Department of Orthopaedic SurgeryUniversity of DebrecenDebrecenHungary
  10. 10.Department of TraumatologyUniversity of DebrecenDebrecenHungary
  11. 11.Anderson Orthopaedic Research InstituteAlexandriaUSA
  12. 12.Walter Reed Military, Medical CenterBethesdaUSA
  13. 13.Inova Mount Vernon Joint Replacement CenterAlexandriaUSA
  14. 14.Department of Orthopaedic SurgeryInstitute of Joint Replacement, Kyoto Katsuta HospitalKyotoJapan
  15. 15.The Center for Hip and Knee Surgery, St. Francis HospitalMooresvilleUSA
  16. 16.Kobe City Medical Center General HospitalKobeJapan
  17. 17.University Hospital ÖrebroÖrebroSweden
  18. 18.Department of Surgical and Perioperative SciencesUmeå UniversityUmeåSweden
  19. 19.University College London HospitalLondonUK
  20. 20.Department of Trauma & OrthopaedicsUniversity College HospitalLondonUK
  21. 21.Hospital for Special SurgeryNew YorkUSA
  22. 22.Department of Orthopedic SurgeryHospital for Special SurgeryNew YorkUSA
  23. 23.Department of Orthopaedic and TraumatologyKoşuyolu Medipol Hospital, İstanbul Medipol UniversityİstanbulTurkey
  24. 24.Department of OrthopaedicsHarvard Medical SchoolBostonUSA
  25. 25.Brigham and Women’s HospitalBostonUSA
  26. 26.Rothman InstitutePhiladelphiaUSA
  27. 27.New York University School of MedicineNew YorkUSA
  28. 28.Department of Orthopaedic Surgery, Division of Adult ReconstructionNew York Langone Orthopaedic Hospital, New York Langone Medical CenterNew YorkUSA
  29. 29.Orthopaedic Surgery, Weill Cornell Medical CollegeNew YorkUSA
  30. 30.Laboratory for the Research of Musculoskeletal System “Th. Garofalidis”Medical School, University of Athens, General Hospital of Athens KATAthensGreece

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