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Late Developmental Dysplasia of the Hip That Was Sonographically Determined to Be Stable at First ExaminationA Case Report
Seyit Ali Gümüştaş, MD1; Mehmet Müfit Orak, MD2; Tolga Onay, MD3; Güven Bulut, MD4
1 Orthopedics and Traumatology Department, Adiyaman Education and Research Hospital, Turgut Reis Street 02200, Adiyaman, Turkey. E-mail address: seyitali_gumustas@yahoo.com
2 Orthopedics and Traumatology Department, Fatih Sultan Mehmet Education and Research Hospital. E-5 Highway 34752, Bostanci, Istanbul, Turkey. E-mail address: mehmetmufitorak@yahoo.com
3 Orthopedics and Traumatology Department, Tatvan State Hospital, Saray Street 13200, Tatvan, Bitlis, Turkey. E-mail address: onaytolga@yahoo.com
4 Orthopedics and Traumatology Department, Dr. Lütfi Kirdar Kartal Education and Research Hospital, Şemsi Denizer Street 34890, Kartal, Istanbul, Turkey. E-mail address: guvenbulut@yahoo.com
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Investigation performed at Dr. Lütfi Kirdar Kartal Education and Research Hospital, Istanbul, Turkey



Disclosure: None of the authors received payments or services, either directly or indirectly (i.e., via his or her institution), from a third party in support of any aspect of this work. None of the authors, or their institution(s), have had any financial relationship, in the thirty-six months prior to submission of this work, with any entity in the biomedical arena that could be perceived to influence or have the potential to influence what is written in this work. Also, no author has had any other relationships, or has engaged in any other activities, that could be perceived to influence or have the potential to influence what is written in this work. The complete Disclosures of Potential Conflicts of Interest submitted by authors are always provided with the online version of the article.

Copyright © 2013 by The Journal of Bone and Joint Surgery, Inc.
JBJS Case Connector, 2013 Nov 13;3(4):e114 1-4. doi: 10.2106/JBJS.CC.M.00148
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Extract

Developmental dysplasia of the hip (DDH) is the most common skeletal dysplasia in childhood1. If the diagnosis of DDH is not determined during the first months of life and therefore is left untreated, it can lead to permanent deformities and osteoarthritis in later years2. In infants, hips that are clinically and sonographically stable just after birth should develop normally as long as their evolution is not disrupted by neurologic, septic, or traumatic reasons. In the first six months after birth, ultrasonography of the hip is the most valuable method to diagnose DDH. Early diagnosis of DDH with sonographic screening programs and early treatment have reduced the rate of late-developing dysplasia1,2.
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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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