Bilateral hip dysplasia. A case report

Area of Science:

• Orthopedics
• Pediatric Health
• Public Health Screening

Background:

• Hip dysplasia is a common congenital condition affecting approximately 1% of newborns.
• Routine health screenings in childhood aim to detect congenital conditions early.
• Undiagnosed congenital hip dysplasia in adults is rare in populations with established screening protocols.

Observation:

• A 20-year-old nulliparous woman presented with bilateral hip dislocation.
• The patient was unaware of her hip dysplasia despite a well-tolerated abnormal gait.
• She underwent a cesarean delivery for arrest of labor during an otherwise unremarkable pregnancy.

Findings:

• The case highlights a rare instance of undiagnosed congenital hip dysplasia presenting in adulthood.
• Delayed diagnosis in this case did not appear to impede the patient's pregnancy outcome.
• The patient's ability to function with bilateral hip dislocation suggests potential for adaptation.

Implications:

• Early diagnosis and intervention for hip dysplasia are essential to prevent long-term sequelae.
• This case underscores the importance of consistent screening, even in the presence of seemingly asymptomatic conditions.
• Public health initiatives for congenital hip dysplasia screening remain critical for preventing adult-onset complications.