Pediatric Hip and Pelvis

Pediatr Clin North Am. 2020 Feb;67(1):139-152. doi: 10.1016/j.pcl.2019.09.003.

Abstract

The most common pediatric orthopedic conditions of the hip and pelvis involve abnormal architecture of the joint leading to pain and dysfunction. Developmental dysplasia of the hip and femoroacetabular impingement are 2 common and distinct forms of structural pathology in the pediatric hip. The authors also discuss 2 of the more common, and often questioned, pediatric hip disorders-slipped capital femoral epiphysis and Legg-Calvé-Perthes disease. Future investigations are aimed at identifying risk factors to provide pediatric orthopedists tools to risk stratify their patients and understand when conservative approaches such as close observation versus surgical interventions are more appropriate.

Keywords: Developmental dysplasia of the hip (DDH); Femoroacetabular impingement (FAI); Legg-Calvé-Perthes disease (LCP); Slipped capital femoral epiphysis (SCFE).

Publication types

  • Review

MeSH terms

  • Child
  • Femoracetabular Impingement* / diagnosis
  • Femoracetabular Impingement* / therapy
  • Hip Dislocation, Congenital* / diagnosis
  • Hip Dislocation, Congenital* / therapy
  • Humans
  • Legg-Calve-Perthes Disease* / diagnosis
  • Legg-Calve-Perthes Disease* / therapy
  • Slipped Capital Femoral Epiphyses* / diagnosis
  • Slipped Capital Femoral Epiphyses* / therapy