Atypical presentation of bilateral congenital high hip luxation – case illustration

Marcin Syrko, Jerzy Jabłecki, Andrzej Majer

Marcin Syrko, Jerzy Jabłecki, Andrzej Majer – Atypical presentation of bilateral congenital high hip luxation – case illustration. Fizjoterapia Polska 2006; 6(2); 163-166

Abstract

Congenital hip dislocation present in adults, thanks to the wide prophylaxis, is nowadays quite uncommon in Polish population. There are three distinct forms of this disease: 1) the dysplasia, in which the femoral head, despite some degree of subluxation is contained within the original acetabulum, 2) low dislocation, in which the femoral head articulate with a false acetabulum, and, 3) high dislocation, in which the femoral head has migrated superiorly and posteriorly and articulates with a hollow in the iliac wing. Acetabular deficiencies also have been noted in all three types. Evolution of pathological changes within the pelvis due to this dislocation is well known, resulting in serious locomotion disturbances. Similarly it is maintained in the medical literature that in the above mentioned cases the pain starts at an average age of about 30. This rules have exceptions and the case we observed is one of those. A 64-years of age patient was presented suffering from bilateral congenital high hip luxation. The pain ensuing from the congenital hip disease was localized in lower part of vertebral column appeared no sooner then at the senior age. It was the reason for orthopedic consultation. The patient was during all her life very physically active, participating in her youth in school sport competitions, moved until 64 years of age without crutches. The case was discussed with the reference of a general pathology of congenital hip disease and it’s operative options. It may serve as a prove that a strong dedication to physical activity may seriously diminish the sequels of even serious mutilation.

Key words:
congenital hip luxation, evolution of hip pathology, hip alloplasty, physical activity
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