Hip Disorders In Childhood

There are many childhood disorders which affect the hip and its development, many of which can have lifelong sequelae affecting the adult's way of life. This book brings together the authoritative opinions of a number of experienced clinicians about these disorders, discussing their aetiology, presentation, diagnosis, treatment and the range of outcomes. It is for all those who manage the health of children; primarily paediatricians, physiotherapists, occupational therapists, nurses and orthotists. Although the majority of authors are orthopedic surgeons, this definitive volume focuses on what every clinician should know about the developing hip joint.

The normal child's hip is an intricate balance between a growing acetabulum, a growing proximal femur and the vasculature that accommodates to the bony changes. When that balance is disrupted, due to trauma, genetics, or other conditions, physicians have options. This issue, edited by James T. Guille, MD at Shriners Hospital in Philadelphia covers evaluation of hip pain, using ultrasound in diagnoses, treatment of developmental dysplasia, slipped capital femoral epiphysis, paralysis, fractures and more. Key words: hip, dislocation, contracture, spinal cord injury (SCI), dysplasia, fracture, septic arthritis, hip arthroscopy, degenerative hip disease in adolescents, cerebral palsy, slipped capital femoral epiphysis paralysis

Postgraduate Orthopedics Series: Hip Disorders in Children is a seven-chapter text that reviews the disorders of the developing hip. This book discusses the broad spectrum of mal-development in the structure of femur and the classification of femoral dysplasia and prognosis of the hip. The first chapters cover the general observations upon cause, nature, and conditions of congenital dislocation of the hip; management of congenital dislocation beyond the neonatal stage; application of Hey Groves-Colonna capsular arthroplasty; management of primary subluxation; and pyogenic arthritis of infancy. The subsequent chapters deal with the pathogenesis, classification, and treatment of Perthes’ disease. The discussion then shifts to the fractures of the neck of femur in children and the analysis of slipped upper femoral epiphysis. The last chapters are devoted to the sundry disorders of the soft tissues and the disorders of the hemopoietic system. The book can provide useful information to pediatricians, orthopedics, students, and researchers.

For more than 100 years, congenital dislocation of the hip has been an area of concern in orthopedics. This publications on the subject are al most too numerous to count. Yet our knowledge of the basic principles of congenital hip dislocation and its management is constantly being expanded by new research. In Germanspeaking countries, Kaiser pub lished the last comprehensive textbook on congenital hip dislocation in 1958, and Schlegel followed with a comprehensive handbook in 1961. In the Angloamerican world, Coleman's monograph was pub lished in 1978, Somerville's in 1982, and Wilkinson's in 1985. In 1982 Tachdjian compiled a volume on congenital hip dislocation that con tained contributions from 44 authorities. The purpose of the present book is to provide an overview of our pre sent state of knowledge of congenital hip dislocation, covering basic principles, diagnosis, methods of closed and open treatment, and indi cations. In the process, an attempt is made to trace progress in the field from its beginnings to the present time. Many authors describe the diagnosis and treatment of congenital hip dysplasia and dislocation in terms of specific age groups. We believe it is more prudent to take an individualized approach based on arthro graphic findings and the degree of severity of pathologic changes. Less emphasis is placed here on the management of patients by age group.

This book provides an evidence-based approach to treating the increasing number of children and adolescents presenting with hip disorders. It integrates the most up-to-date data with essential knowledge, gleaned from decades of previous research and practice. Each chapter provides a comprehensive text which integrates relevant pathophysiology, clinical assessment, and imaging, with an evidence-based approach to non-operative and operative management, authored by globally recognized experts in the field of pediatric hip surgery. Detailed surgical techniques, illustrated with original medical drawings and accompanied by their respective indications, anticipated outcomes, and potential complications, are also featured, in this first orthopedic text dedicated solely to the pediatric and adolescent hip. The Paediatric and Adolescent Hip: Essentials and Evidence will be an indispensable resource for wide spectrum of audience including paediatric orthopaedic surgeons, general practitioners, general orthopaedic surgeons, trauma surgeons, orthopaedic residents, emergency department doctors, and physiotherapists seeking a clear and consistent evidence-based guide to treating the paediatric hip.

To all the children who have embarked on a journey with hip dysplasia, we hope that you will be able to spread your wings far and wide, and soar farther then you ever imagined.