The clinical details of six patients who developed spontaneous
We report 13 patients with missed bilateral facet
Of a consecutive series of 117 one-year-old infants with 130 established
Traumatic posterior
In order to treat painful subluxation or
The clinical and radiological state of the hips of a group of children with cerebral palsy treated without operation is compared with that in a group treated by operation to correct adduction and flexion deformity and to obtain balanced action in the hip muscles. In the first group, 11 per cent of hips were dislocated, 28 per cent subluxated, 46 per cent dysplastic and 15 per cent normal. In the second group no hip was dislocated, 13 per cent were subluxated, 35 per cent dysplastic and 52 per cent normal. Surgical intervention is indicated clinically for a range of abduction diminishing to less than 45 degrees and–on radiological criteria–for early dysplastic changes, especially a break in Shenton's line, irrespective of the patient's age, severity of involvement or neurological maturity. Prevention of subluxation or
1. Three cases of recurrent
Four cases of posterior
Four cases of arterial damage resulting from closed posterior
Nine children with chronic post-traumatic
1. The pathogenesis of recurrent anterior
We have reviewed 36 patients who had recurrent anterior
Computerised tomography is useful in the diagnosis of abnormalities of the hip in children, particularly in assessing the size and shape of the acetabulum, the position and congruity of the femoral head relative to the acetabulum, and the degree of femoral anteversion or retroversion. It is most useful when limited hip movement and previous operations preclude adequate clinical examination and assessment by routine radiographic techniques. It is not recommended for routine use in screening congenital
1. A specially designed splint is described with which it is possible to maintain the reduction of a paralytic
We report the replacement of 42 hips in 34 adults with untreated congenital
The treatment of acromioclavicular injuries is controversial; few studies document the late results. We have reviewed 53 patients about five years after conservative management, in nine for subluxation and 44 for
Three patients were reviewed seven, eight and fourteen years after delayed open reduction of traumatic posterior
Total hip replacement for adults with unreduced congenital
We treated 120 children between the ages of 12 and 31 months with 137 developmental