The hip in arthrogryposis

Abstract

Pathology: Hip dislocation is seen in approximately 30 % of children with amyoplasia and approximately 50 % of these will be bilateral. Treatment: Closed reduction is rarely successful. Open reduction is indicated for unilateral dislocations and for the majority of bilateral dislocations. Reduction is recommended via a medial approach. Results: A long-term satisfactory outcome can be achieved but with some loss of hip range of movement.