The Significance of Teardrop Changes in Developmental Dislocation of the Hip.
- Author:
Seok Hyun LEE
;
Won Young SHON
;
Hyeon Il JEOUNG
;
Joon Gyu MOON
;
Ki Seong KIM
- Publication Type:Original Article
- Keywords:
Dislocation;
Hip;
Teardrop
- MeSH:
Acetabulum;
Child;
Diagnosis;
Dislocations*;
Dronabinol;
Follow-Up Studies;
Hip Joint;
Hip*;
Humans;
Retrospective Studies
- From:The Journal of the Korean Orthopaedic Association
1998;33(2):319-325
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Prediction of acetabular development after reduction in treatment of developmental dysplasia of thc hip (DDH) is earlier, the hetter results because it would help ensure optimal timing of additional procedure if necessary. In this respect, authors reviewed retrospectively the radiographs of the hips of 35 children with DDH who had unilateral involvement and treated hy senior author (S.H.Lee) from the heginning with single successful attempt of reduction. The radiographs which were made at the time of initial diagnosis, one, two year nfter reduction und final follow up were assessed of teardrop figures. The results of treatment were classified as satisfactory group(CE > 10degrees ) and unsatisfactory group(CE < 10degrees) judged hy center-edge angle(CE degrees) at final follow-ups. 1. The teardrop figures were classifiable into 4 distinct groups as i)absent. ii)V-shaped, iii)Ushaped, iv) inverted D-shaped. 2. The teardrop figures in normal sides of hip were all U-shaped. 3. In dislocated but with satisfactory result group(24 cases), absent at 2 cases(8%), U-shaped teardrop was seen at 13 cases(54%), V-shaped in 9 cases(38%), and inverted 2-shaped in 0 case at I year after reduction. 4. In dislocated but with unsatisfactory result group( 11 cases), they were mostly of V-shaped(7 cases, 64%). The rest were of ahsent in 4 cases(36%) . hut none of U-shaped and inverted 2-shaped. In conclusions, teardrop figures appeared as significant predictor of future development of hip joint. Teardrop figure which stay as V-shaped at one year after reduction seems suggestive of insufficient reduction of DDH, therehy calls for early additional procedure.
