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[Isolated bilateral dysplasia of the hip in children]
C Vincent-Delorme1, P Maroteaux
1Service de pédiatrie et unité CNRS ER 88, centre hospitalier, Arras, France.
Background:
Dysplasia epiphysealis capitis femoris is not well-known despite its relative frequency; its prognosis is difficult to predict.
Population And Methods:
Twenty children (19 boys and one girl) aged 2.5 to 7 years at diagnosis were included in the study. They had delayed capitis femoris apparition, or a fragmentation of dysplastic capitis femoris. The prognosis remained poor in 13 patients.
Discussion:
Most authors consider that prognosis of this disease is always favorable. We failed to find early prognostic criteria; radiological findings valuable for prognosis are only present after 3 to 6 years.
Conclusion:
Early new imaging techniques have to be evaluated before considering impossibility to foresee the evolution.