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Adult Reconstruction
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Adult Hip Dysplasia

Hip Reconstruction

A 32-year-old woman presents with progressive right hip pain limiting her activities. She has a history of developmental dysplasia of the hip (DDH) treated with Pavlik harness as an infant. Radiographs show a shallow acetabulum, femoral head subluxation with the head-neck junction at the level of the superior margin of the obturator foramen, and early secondary osteoarthritis. Regarding the Crowe classification and surgical planning for adult hip dysplasia:

Mark each as TRUE or FALSE

A

The Crowe classification grades hip dysplasia based on proximal femoral head migration relative to t...

B

Anatomical abnormalities in adult DDH include: shallow acetabulum with deficient anterior and latera...

C

Periacetabular osteotomy (PAO) is contraindicated in all patients with radiographic evidence of arth...

D

PAO is indicated for symptomatic dysplasia with preserved joint space and congruent hip; contraindic...

E

In THA for dysplasia, technical challenges include identifying the true acetabulum (often hypoplasti...

Answer the questions to see explanations

Click T (True) or F (False) for each option