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[Hip joint problems in patients with Down's syndrome].

R Berghof1, C Carstens

  • 1Abteilung für Orthopädie im Kindesalter, Stiftung Orthopädische Universitätsklinik Heidelberg.

Zeitschrift Fur Orthopadie Und Ihre Grenzgebiete
|March 1, 1992
PubMed
Summary

Hip instability is common in children with Down's syndrome, often requiring surgery. Ligament laxity and infection risk necessitate careful management of hip disorders in this population.

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Area of Science:

  • Orthopedics
  • Genetics

Background:

  • Down's syndrome (Trisomy 21) is associated with various health complications, including hip disorders.
  • Hip instability, including dislocations and subluxations, is a significant concern in pediatric patients with Down's syndrome.

Purpose of the Study:

  • To examine the prevalence and characteristics of hip disorders in patients with Down's syndrome.
  • To evaluate the outcomes of surgical interventions for hip instability in this cohort.
  • To highlight the impact of ligamentous laxity and infection risk on treatment.

Main Methods:

  • Retrospective review of 10 patients with Down's syndrome and hip disorders.
  • Analysis of hip instability types, including dislocations and subluxations.
  • Assessment of surgical outcomes and complications, such as wound infections and post-operative instability.

Main Results:

  • Five out of 10 patients presented with hip instability.
  • Two patients required revision surgery due to post-operative instability attributed to ligamentous laxity.
  • Two of the seven operated patients developed wound infections, consistent with known risks in Trisomy 21.

Conclusions:

  • Regular radiographic screening for hip instability is recommended in children with Down's syndrome, especially after they begin walking.
  • Management strategies for hip disorders in Down's syndrome must account for inherent ligamentous laxity and increased susceptibility to infection.
  • Consideration of these factors is crucial for optimizing surgical outcomes and minimizing complications.

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