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VI. CONGENITAL DISLOCATION OF THE HIP

A. BRUCE GILL, M.D.

Arch Surg. 1945;51(4):283-285.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Turner¹⁷⁰ stresses the importance of early diagnosis and treatment of congenital dislocation of the hip. He feels that complications become worse with delay. The physical signs are listed as: I. Unilateral dislocation: (a) apparent shortening, (b) decrease in range of abduction, (c) piston motion, (d) asymmetry of skin folds about the thighs, (e) palpation of the head of the femur, (f) trochanter affected near the anterior superior spine. II. Bilateral dislocation: (a) wide perineum, (b) apparent lordosis, (c) unusually deep skin folds, (d) trochanters unusually near level of anterior superior spines, (e) palpation of femoral heads. It is noted in the roentgenograms that in congenital dislocation (1) the acetabular roof is sloping more than the normal 170 degrees, (2) the acetabulum is shallow, (3) the epiphysis is smaller, (4) the epiphysis is displaced, (5) Shenton's line is disturbed and (6) the metaphysial beak is displaced more laterally. The treatment . . . [Full Text PDF of this Article]

Author Affiliations
PHILADELPHIA

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