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Teratologic Congenital Hip Dislocation

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Teratologic Congenital Hip Dislocation, Congenital Hip Dislocation from Teratogen Exposure

  • Pathophysiology
  1. Onset early in pregnancy
  • 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
  • Management
  1. Open Reduction