Case: Paediatric radiograph #71254683
Paediatric Intermediate
Read this radiograph systematically before revealing the answer. What is the main abnormality?
Tip: scroll or pinch to zoom, drag to pan, and try Invert.
Answer: Developmental dysplasia of the hip (DDH)
What to look for in developmental dysplasia of the hip (ddh)
- Shallow, steep acetabulum (increased acetabular index).
- Femoral head ossification centre small or displaced superolaterally, outside the inner lower quadrant formed by Hilgenreiner's and Perkin's lines.
- Disrupted Shenton's line. Ultrasound is preferred in young infants before the femoral head ossifies.
Description by the image author (may be in another language): Pre-operative radiographic aspect in an anteroposterior view of a 40-year-old female with Crowe grade II hip dysplasia on her right side. The patient presented with a narrow femoral canal.
Educational case. The diagnosis comes from the image's documented source; the "what to look for" list describes the condition in general and is not a report of this individual image.
