Displacement of the Hip in Childhood

1. Front Matter

   Pages I-XIII

   PDF

2. Aetiology

   • Edgar W. Somerville

   Pages 1-12

3. Age 0–9 Months

   • Edgar W. Somerville

   Pages 13-27

4. The Secondary Changes

   • Edgar W. Somerville

   Pages 29-39

5. Nine Months to Three-and-a-Half Years

   • Edgar W. Somerville

   Pages 41-78

6. Development of the Hip

   • Edgar W. Somerville

   Pages 79-120

7. Operations on the Pelvis

   • Edgar W. Somerville

   Pages 121-137

8. Some Iatrogenic Problems

   • Edgar W. Somerville

   Pages 139-145

9. Perthes’ Disease

   • Edgar W. Somerville

   Pages 147-178

10. Persistent Foetal Alignment

    • Edgar W. Somerville

    Pages 179-186

11. Development of the Upper End of the Femur

    • Edgar W. Somerville

    Pages 187-195

12. Back Matter

    Pages 197-200

    PDF

This book is concerned with the effect that displacement, whether minimal or severe, may have on the hip joint. Although it is concerned with the changes which take place in childhood and during growth, when they are most common and most severe, it is also to a lesser extent concerned with the way they will continue or even start long after growth has ceased. It is based on a series of about 450 cases of congenital displacement of the hip treated when the deformity was established, together with unstable hips drawn from 82000 children whose hips were examined at the time of birth. This study was carried out at the Nuffield Orthopaedic Centre in Oxford. It was started in early 1949 by the author with Mr. J. C. Scott and continued until mid-1977, since when it has continued in the capable hands of Mr. J. W. Goodfellow and Mr. M. K. Benson. The study was started at a time when the generally accepted view was still that the displacement was part of the primary failure of development of the acetabulum, which could not adequately contain the femoral head. Conservative treatment with manipulative reduc­ tion followed by a prolonged period of plaster immobilisation was the method of choice. Few attempts had been made with surgery as a primary procedure and these had not met with continuing success.

• Hüftgelenkverrenkung
• childhood
• growth
• hip
• surgery

• The Nuffield Orthopaedic Centre, Oxford, England

  Edgar W. Somerville

Policies and ethics