Concomitant achondroplasia and developmental dysplasia of the hip

Achondroplasia (ACH) is the most common form of hereditary dwarfism and presents with multiple musculoskeletal anomalies but is not normally associated with premature hip arthritis. Developmental dysplasia of the hip (DDH) is a spectrum of disease resulting in shallow acetabular depth and a propensi...

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Main Authors:	Tennison L. Malcolm, MD, Duy L. Phan, MD, Ran Schwarzkopf, MD, MSc
Format:	Article
Language:	English
Published:	Elsevier 2015-12-01
Series:	Arthroplasty Today
Subjects:	Achondroplasia Developmental dysplasia of the hip Total hip arthroplasty
Online Access:	http://www.sciencedirect.com/science/article/pii/S2352344115000102

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spelling	doaj-2368c7e112264b21a0bb81d0c3fa4e032020-11-24T21:48:05ZengElsevierArthroplasty Today2352-34412015-12-011411111510.1016/j.artd.2015.03.001Concomitant achondroplasia and developmental dysplasia of the hipTennison L. Malcolm, MD0Duy L. Phan, MD1Ran Schwarzkopf, MD, MSc2Department of General Surgery, University of California, Irvine, Medical Center Orange, CA, USADepartment of Orthopaedic Surgery, University of California, Irvine, Medical Center Orange, CA, USADivision of Adult Reconstruction, Department of Orthopaedic Surgery, NYU Langone Medical Center, NYU Hospital for Joint Diseases, New York, NY, USAAchondroplasia (ACH) is the most common form of hereditary dwarfism and presents with multiple musculoskeletal anomalies but is not normally associated with premature hip arthritis. Developmental dysplasia of the hip (DDH) is a spectrum of disease resulting in shallow acetabular depth and a propensity for chronic femoral subluxation or dislocation; it is among the most common causes of premature arthritis. This case report describes the diagnosis of symptomatic DDH in a patient with ACH and highlights difficulties of primary total hip arthroplasty (THA) as a treatment option. Intraoperative radiographic imaging is advised to ensure proper prosthesis placement. Femoral osteotomy may aid visualization, reduction, and avoidance of soft tissue injury. Concomitant ACH and DDH is a challenging problem that can be successfully treated with modified THA.http://www.sciencedirect.com/science/article/pii/S2352344115000102AchondroplasiaDevelopmental dysplasia of the hipTotal hip arthroplasty
collection	DOAJ
language	English
format	Article
sources	DOAJ
author	Tennison L. Malcolm, MD Duy L. Phan, MD Ran Schwarzkopf, MD, MSc
spellingShingle	Tennison L. Malcolm, MD Duy L. Phan, MD Ran Schwarzkopf, MD, MSc Concomitant achondroplasia and developmental dysplasia of the hip Arthroplasty Today Achondroplasia Developmental dysplasia of the hip Total hip arthroplasty
author_facet	Tennison L. Malcolm, MD Duy L. Phan, MD Ran Schwarzkopf, MD, MSc
author_sort	Tennison L. Malcolm, MD
title	Concomitant achondroplasia and developmental dysplasia of the hip
title_short	Concomitant achondroplasia and developmental dysplasia of the hip
title_full	Concomitant achondroplasia and developmental dysplasia of the hip
title_fullStr	Concomitant achondroplasia and developmental dysplasia of the hip
title_full_unstemmed	Concomitant achondroplasia and developmental dysplasia of the hip
title_sort	concomitant achondroplasia and developmental dysplasia of the hip
publisher	Elsevier
series	Arthroplasty Today
issn	2352-3441
publishDate	2015-12-01
description	Achondroplasia (ACH) is the most common form of hereditary dwarfism and presents with multiple musculoskeletal anomalies but is not normally associated with premature hip arthritis. Developmental dysplasia of the hip (DDH) is a spectrum of disease resulting in shallow acetabular depth and a propensity for chronic femoral subluxation or dislocation; it is among the most common causes of premature arthritis. This case report describes the diagnosis of symptomatic DDH in a patient with ACH and highlights difficulties of primary total hip arthroplasty (THA) as a treatment option. Intraoperative radiographic imaging is advised to ensure proper prosthesis placement. Femoral osteotomy may aid visualization, reduction, and avoidance of soft tissue injury. Concomitant ACH and DDH is a challenging problem that can be successfully treated with modified THA.
topic	Achondroplasia Developmental dysplasia of the hip Total hip arthroplasty
url	http://www.sciencedirect.com/science/article/pii/S2352344115000102
work_keys_str_mv	AT tennisonlmalcolmmd concomitantachondroplasiaanddevelopmentaldysplasiaofthehip AT duylphanmd concomitantachondroplasiaanddevelopmentaldysplasiaofthehip AT ranschwarzkopfmdmsc concomitantachondroplasiaanddevelopmentaldysplasiaofthehip
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Concomitant achondroplasia and developmental dysplasia of the hip

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