Teratologic Congenital Hip Dislocation

Aka: Teratologic Congenital Hip Dislocation, Congenital Hip Dislocation from Teratogen Exposure

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II. Pathophysiology

  1. Onset early in pregnancy

III. Signs

  1. Ortolani Test Negative
    1. Femoral head does not relocate on flexion, abduction
  2. Unilateral dislocation
    1. Asymmetric gluteal folds
    2. Asymmetric range of motion: limited abduction
  3. Bilateral dislocation
    1. Wide perineum
    2. Thighs appear short

IV. Management

  1. Open Reduction

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