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Multidirectional habitual bilateral hip dislocation in a patient with Down syndrome
John M Kirkos1, Kyriakos A Papavasiliou, Margaritis J Kyrkos
1Third Orthopaedic Department of the Aristotle University of Thessaloniki, Papageorgiou General Hospital, 138 Al. Papanastasiou Str., 54249 Thessaloniki, Greece. mjkyrkos@hotmail.com
Clinical Orthopaedics and Related Research
|June 3, 2005
Summary
This case report details a conservative treatment for bilateral hip dislocation in a child with Down syndrome. A spica cast successfully stabilized the hips, resolving symptoms for over a year.
Area of Science:
- Pediatric Orthopedics
- Genetics and Rare Diseases
Background:
- Bilateral habitual hip dislocation is rare, especially in children with Down syndrome.
- Nontraumatic dislocations require specific management strategies.
Observation:
- A 3-year-old girl with Down syndrome presented with multidirectional bilateral habitual hip dislocations.
- Conservative treatment involved a 12-week spica cast immobilization.
Findings:
- The spica cast was applied with hips in abduction and external rotation for 6 weeks, followed by abduction and internal rotation for 6 weeks.
- Post-treatment, hip stabilization was achieved, and the child remained asymptomatic for 12 months.
Implications:
- Conservative spica casting can be an effective treatment for bilateral hip dislocation in pediatric Down syndrome patients.
- This approach may prevent the need for surgical intervention in select cases.