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Onset of developmental dysplasia of the hip during clubfoot treatment: report of two cases and review of patients with both deformities followed at a single institution

Canavese, Federico; Vargas-Barreto, Bernardo; Kaelin, André; de Coulon, Geraldo

Journal of Pediatric Orthopaedics B: May 2011 - Volume 20 - Issue 3 - p 152–156
doi: 10.1097/BPB.0b013e3283441030
Pelvis, Hip and Knee

Developmental dysplasia of the hip and idiopathic clubfoot are common musculoskeletal conditions in the pediatric orthopedic population. Although ultrasound or radiographic screening is generally recommended to rule out occult hip dysplasia, it has been suggested that children with clubfoot should no longer be screened. We report two cases of newborns with unilateral clubfoot and bilaterally stable hips that developed unilateral hip dysplasia on the same side as the foot deformity during clubfoot treatment. All cases previously reported in the literature are reviewed. We recommend systematic hip ultrasound screening in patients with idiopathic clubfoot. A second hip ultrasound or a pelvis radiograph, if the ossific nucleus has appeared, should be performed after completion of the clubfoot treatment if clinical examination is abnormal.

Department of Child and Adolescent, Pediatric Orthopaedic Unit, Faculty of Medicine, University of Geneva Hospitals, Geneva, Switzerland

Correspondence to Federico Canavese, MD, Department of Child and Adolescent, Paediatric Orthopaedic Unit, University of Geneva Hospitals, 6 Rue Willy-Donzé, 1211 Geneva 14, Switzerland Tel: +41 22 382 4787; fax: +41 22 382 4783; e-mail: canavese_federico@yahoo.fr

© 2011 Lippincott Williams & Wilkins, Inc.