By J. A. Ogden, H. L. Moss (auth.), U. H. Weil (eds.)

Readers of the 1st quantity of growth in Orthopaedic surgical procedure may well take note the introductory feedback of Drs. Wagner and Hungerford. it's the goal of the editors of this e-book to familiarize English - conversing orthopaedists with articles released within the ecu literature which, as a result of language limitations, could rather be inaccessible to them. such a lot articles during this moment quantity are also translations of papers initially revealed in Der Orthopiide. the aim of this German clinical magazine is to disseminate the latest studies of orthopaedic difficulties in a kind that's of specific worth to the working towards orthopaedic physician. In 1973 8 articles have been released on acetabular dysplasia. In his fore­ observe to this factor Dr. Wagner said the various the reason why such an indepth examine used to be deemed helpful. He used to be of the opinion that the vanity and bring up in acclivity of the acetabulum was once of such vital value within the improvement and therapy of hip dysplasias quantity facing this topic was once totally justified. one more reason for this number of papers used to be the advances made in correcting the result of a dysplastic acetabulum by way of surgical skill and thereby enhancing hip joint functionality in later years, or no less than pre­ venting its early deterioration.

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Extra resources for Acetabular Dysplasia: Skeletal Dysplasias in Childhood, 1st Edition

Example text

One is the coalescence of several end-arterial systems of peripheral origins to form the dominant posterosuperior and posteroinferior vessels. Another is the development of intraepiphyseal anastomoses through an intermediary, the secondary ossification center. During the transition phase from multiple to limited vessels the capital femoral epiphysis is extremely susceptible to vascular compromise, particularly if there is any alteration in the anatomy. Occlusion of a small vessel along the intertrochanteric groove in the first few months of life might affect only a small area, whereas occlusion of a single vessel such as the posterosuperior branch in a slightly older child could have a profound effect on subsequent development of the proximal femur.

In time it will result in a joint malformation which in its turn will bring about the appearance of additional secondary deformities. A critical time for the dysplastic hip is the period when the child begins to walk and weight-bearing begins to occur at the hip. The previously established dysplasia without dislocation will easily progress to a dysplasia with dislocation. The head of the femur presses in a cranial direction, increasing the atrophy of the acetabular lip. The acclivity of the acetabulum increases.

2S). The function of the anterior wall had been replaced by a markedly attenuated, elongated anterior capsule (Fig. 2S). Both femoral heads had seemingly normal sphericity when viewed anteriorly but very evident Fig. 2S. (a) - pelvis, showing extensive anterior capsule. Extent of anterior acetabular rim is indicated by the broken line. (b) transilluminated view of shallow right acetabulum showing superior/inferior elongation and minimal anterior wall Pathologic Anatomy of Congenital Hip Disease 31 Fig.

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