Tuesday, April 3, 2012

Hip dysplasia

Frontal radiograph of the pelvis. The ossification centers of the capital femoral epiphyses are symmetric and located in the joint spaces. Both heads project in the inner lower quadrants formed by the intersection of the Hilgenreiner (H) and Perkin (P) lines. Shenton lines (S) are continuous and demarcated by the dashed lines. The acetabular angles are symmetric and less than 28° bilaterally.


Frontal radiograph of the pelvis obtained in an infant before ossification of the capital femoral epiphyses begins. The legs are in the neutral position. The projected location of the unossified femoral heads must be estimated. The right hip is normal. The probable location of the left femoral head projects beyond the joint space and into the lower outer quadrant formed by the intersection of the Hilgenreiner and Perkin lines.


Frontal radiograph of the pelvis in a 1-year-old child with a dislocated right hip. The degree of ossification of the femoral head on the dislocated side is decreased compared with that of the normally located left hip. The abnormally located hip articulates with a false neo acetabulum.


Reference