Developmental dysplasia of the hip
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Developmental dysplasia of the hip
Pathology
Pediatric musculoskeletal conditions
Radial head subluxation (Nursemaid elbow)
Developmental dysplasia of the hip
Legg-Calve-Perthes disease
Slipped capital femoral epiphysis
Transient synovitis
Osgood-Schlatter disease (traction apophysitis)
Musculoskeletal injuries and trauma
Rotator cuff tear
Dislocated shoulder
Radial head subluxation (Nursemaid elbow)
Winged scapula
Thoracic outlet syndrome
Carpal tunnel syndrome
Ulnar claw
Erb-Duchenne palsy
Klumpke paralysis
Iliotibial band syndrome
Unhappy triad
Anterior cruciate ligament injury
Patellar tendon rupture
Meniscus tear
Patellofemoral pain syndrome
Sprained ankle
Achilles tendon rupture
Spondylolysis
Spondylolisthesis
Degenerative disc disease
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Sciatica
Compartment syndrome
Rhabdomyolysis
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Osteogenesis imperfecta
Craniosynostosis
Pectus excavatum
Arthrogryposis
Genu valgum
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Pigeon toe
Flat feet
Club foot
Cleidocranial dysplasia
Achondroplasia
Osteomyelitis
Bone tumors
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Chondrosarcoma
Osteoporosis
Osteomalacia and rickets
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Spondylosis
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Juvenile idiopathic arthritis
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Musculoskeletal system pathology review
Back pain: Pathology review
Rheumatoid arthritis and osteoarthritis: Pathology review
Seronegative and septic arthritis: Pathology review
Gout and pseudogout: Pathology review
Systemic lupus erythematosus (SLE): Pathology review
Scleroderma: Pathology review
Sjogren syndrome: Pathology review
Bone disorders: Pathology review
Bone tumors: Pathology review
Myalgias and myositis: Pathology review
Neuromuscular junction disorders: Pathology review
Muscular dystrophies and mitochondrial myopathies: Pathology review
Pediatric musculoskeletal disorders: Pathology review
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Developmental dysplasia of the hip
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Content Reviewers
Rishi Desai, MD, MPHContributors
Elizabeth Nixon-Shapiro, MSMI, CMI
Evode Iradufasha, MD
Marisa Pedron
Evan Debevec-McKenney
Congenital hip dysplasia, or developmental dysplasia of the hip, is a problem where the socket or acetabulum - and the femoral head are misaligned, resulting in an unstable hip joint.
Typically, the problem is present at birth, but sometimes it appears later as the bones develop over time.
The hip joint is a ball and socket type because the ball-shaped head of the femur sits and rotates within the acetabulum which is a cup-shaped socket.
The hip joint is supported by a tough fibrous joint capsule, which is made up of three main ligaments, the iliofemoral, the pubofemoral, and the ischiofemoral.
The main job of the joint capsule is to hold articulating bones together and make sure the joint stays stable when the hip is moving.
Now, the acetabulum itself is a combination of parts of three pelvic bones that join together - the ischium, the ileum, and the pubis.
At the bottom of the acetabulum known as the acetabular fossa, arises a ligament, called the ligamentum teres that attaches to the fovea capitis, which is a depression found on the tip of the femoral head.
This ligament helps with joint stability especially during hip flexion and abduction.
Now, the edge of the acetabulum has a thick bony circular rim covered by a ring of cartilage known as the acetabular labrum.
At its lower end, there’s a depression called the acetabular notch, which is covered by the transverse ligament which fills the gap within the circumference of the acetabulum.
Sources
- "Robbins Basic Pathology" Elsevier (2017)
- "Harrison's Principles of Internal Medicine, Twentieth Edition (Vol.1 & Vol.2)" McGraw-Hill Education / Medical (2018)
- "Pathophysiology of Disease: An Introduction to Clinical Medicine 8E" McGraw-Hill Education / Medical (2018)
- "CURRENT Medical Diagnosis and Treatment 2020" McGraw-Hill Education / Medical (2019)
- "The Labro-Acetabular Complex" Journal of Bone and Joint Surgery (2011)
- "Imaging of the Acetabular Labrum" Magnetic Resonance Imaging Clinics of North America (2005)
- "Is ‘Clicky Hip’ a Risk Factor in Developmental Dysplasia of the Hip?" Scottish Medical Journal (2005)
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