Jove
Visualize
Contact Us

Related Experiment Videos

Hip configuration and function in bladder exstrophy treated without pelvic osteotomy

S Nordin1, C Clementson, K Herrlin

  • 1Department of Pediatric Surgery, Lund University Hospital, Sweden.

Journal of Pediatric Orthopedics. Part B
|January 1, 1996
PubMed
Summary

Children with bladder exstrophy treated without surgery showed normal hip movement and gait. Acetabular retroversion was balanced by increased femoral anteversion, indicating good long-term hip health.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Application of Theory in Studies of Healthcare Built Environment Research.

HERD·2020
Same author

Outcomes after slipped capital femoral epiphysis: a population-based study with three-year follow-up.

Journal of children's orthopaedics·2018
Same author

The head shaft angle is associated with hip displacement in children at GMFCS levels III-V - a population based study.

BMC musculoskeletal disorders·2018
Same author

Diagnosis and treatment of the cardiovascular consequences of Fabry disease.

QJM : monthly journal of the Association of Physicians·2018
Same author

Inter- and intra-rater reliability of the head-shaft angle in children with cerebral palsy.

Journal of children's orthopaedics·2017
Same author

Pinning the slipped and contralateral hips in the treatment of slipped capital femoral epiphysis.

Journal of children's orthopaedics·2017
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Area of Science:

  • Pediatric Orthopedics
  • Developmental Biology

Background:

  • Congenital bladder exstrophy is a complex birth defect affecting the urinary and reproductive systems.
  • Management of bladder exstrophy often involves surgical interventions, including pelvic osteotomy, to address skeletal abnormalities.

Purpose of the Study:

  • To evaluate the long-term clinical and radiological outcomes of hip joints in children with bladder exstrophy treated without pelvic osteotomy.
  • To investigate the relationship between acetabular and femoral version angles and hip function in this patient cohort.

Main Methods:

  • Clinical assessment of gait, hip range of motion, and pain in nine children with bladder exstrophy.
  • Radiological evaluation using computed tomography (CT) to measure acetabular and femoral version angles.
  • Assessment of femoral head sphericity and presence of hip dysplasia.

Related Experiment Videos

Main Results:

  • No significant pain or limitations in sports participation were reported by the children.
  • A normal range of hip movements and foot progression angle were observed.
  • Average acetabular retroversion of 5 degrees was compensated by an average femoral anteversion 10-20 degrees higher than normal.
  • All femoral heads were spherical, with no evidence of hip dysplasia.

Conclusions:

  • Congenital bladder exstrophy treated without pelvic osteotomy can result in balanced hip joint biomechanics.
  • Increased femoral anteversion effectively compensates for acetabular retroversion, leading to normal hip function and gait in later childhood.
  • This conservative approach may offer a favorable alternative for managing hip development in bladder exstrophy patients.