Х-ray anatomical features of dislocated hip in children with arthrogryposis

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The purpose - to identify the Х-ray anatomical features of the dislocated hip in children with arthrogryposis, to compare Х-ray and CT scans of hips in patients with arthrogryposis and DDH. Materials and methods. We examined the 98 X-rays and CT scans of the pelvis (120 hips) in children aged from 5 months to 7 years with a hip dislocation in arthrogryposis (main group) and DDH (control group). Results. Cranio-lateral displacement of the femoral head was less pronounced in the main group than in the control. Deficiency of the roof and anterior acetabular margin are typical for the comparison groups, but these changes are significantly less pronounced in the main group (p<0,0001). Also revealed that the posterior acetabular margin developed significantly greater in the main group. For the patients in the main group up to 3 years, the pathological femoral antetorsion is not typical in contrast to the control group (p<0,0001), however, it occurs in older age (p<0,14). At the compared groups the true values of the NSA do not exceed the age norm. Conclusion. Examination protocol of the hip dislocation in children with arthrogryposis must include X-ray and CT of the pelvis for reliable evaluation of the femoral and acetabular component and preoperative planning.

About the authors

S. F. Bat’kin

Turner Scientific and Research Institute for Children’s Orthopedics

Author for correspondence.
Email: sergey-batkin@mail.ru
postgraduate student Russian Federation

D. V. Barsukov

Turner Scientific and Research Institute for Children’s Orthopedics

Email: fake@neicon.ru
researcher of the department of the hip pathology Russian Federation

O. E. Agranovich

Turner Scientific and Research Institute for Children’s Orthopedics

Email: fake@neicon.ru
head of the department of arthrogryposis Russian Federation

M. M. Kamosko

Turner Scientific and Research Institute for Children’s Orthopedics

Email: fake@neicon.ru
head of the department oh hip pathology Russian Federation


  1. Батькин С.Ф., Агранович О.Е., Барсуков Д.Б. Тактика лечения вывиха бедра у больных с артрогрипозом (обзор литературы). Ортопедия, травматология и восстановительная хирургия детского возраста. 2014; (2):55-62.
  2. Воронцов И.М., Мазурин А.В. Пропедевтика детских болезней. СПб.: Фолиант; 2009. 1002 с.
  3. Камоско М.М., Баиндурашвили А.Г. Диспластический коксартроз у детей и подростков (клиника, патогенез, хирургическое лечение). СПб.: СпецЛит; 2010.
  4. Поздникин Ю.И. Камоско М.М., Поздникин И.Ю. Профилактика и лечение деформирующего пре- и коксартроза у детей и подростков с врожденной патологией тазобедренного сустава: пособие для врачей. СПб.; 2005. 30 с.
  5. Садофьева В.И. Рентгенофункциональная диагностика заболеваний опорно-двигательного аппарата у детей. Л.: Медицина; 1986. 235 с.
  6. Cameron H.U. Total joint replacement in multiplex congenital contractures: a case report. Can J Surg. 1998; 41(3):245-247.
  7. Darin N., Kimber E., Kroksmark A. Multiple congenital contractures: Birth prevalence, etiology, and outcome. J Pediatr. 2002; 140:61-67.
  8. F assier A., Wicart Ph., Dubousset J., Seringe R. Arthrogryposis multiplex congenital. Long-term follow up from birth until skeletal maturity. J Child Orthop. 2009; 3:383-390.
  9. F isher K.A., Fisher D.A. Total hip and knee replacement in a patient with arthrogryposis multiplex congenita. Am J Orthop (Belle Mead NJ). 2014; 43 (4):E79-82.
  10. F riedlander H.L., Westin G.W., Wood W.L. Arthrogryposis multiplex congenita: a review of 45 cases. J Bone Joint Surg Am. 1968; 90:89-112.
  11. Gruel C.R., Birch J.G., Roach J.W., Herring J.A. Teratologic dislocation of the hip. J Pediatr Orthop. 1986; 6:693-702.
  12. H uurman W.W., Jacobsen S.T. The hip in arthrogryposis multiplex congenita. Clin Orthop Relat Res. 1985; 194:81-86.
  13. Louis T.A., Zeger S.L. Effective communication of standard errors and confidence intervals. Biostatistics. 2009; 10(1):1-2.
  14. Södergard J. Hip in arthrogryposis multiplex congenita. Rev. Chir. Orthop. Reparatrice Appar. Mot. 1996; 82(5):403-409.
  15. Staheli L.T., Chew D.E., Elliott J.S., Mosca V.S. Management of hip dislocation in children with arthrogyposis. J Pediatr Orthop. 1987; 7(6):681-685.
  16. Stilli S., Antonioli D., Lampasi M., Donzelli O. Management of hip contractures and dislocations in arthrogryposis.Musculoskelet Surg. 2012; 96(1):17-21.
  17. Strzyzewski H. A simplified method for radiological determination of the angle of antetorsion and neck-shaft angle of the femur in children. Chir Narzadow Ruchu Ortop Pol. 1966; 31(1):65-73.
  18. Tönnis D. Сongenital dysplasia and dislocation of the hip in children and adults. Berlin, Heidelberg: Springer-Verlag; 1987. 536 p.
  19. W ada A., Yamaguchi T., Nakamura T., Yanagida H., Takamura K., Oketani Y., Kubota H., Fujii T. Surgical treatment of hip dislocation in amyoplasia-type arthrogryposis. J Pediatr Orthop B. 2012; 21(5):381-355.
  20. Y au P.W.P., Wang C., Yun H.L., Leong G.C.Y. Twenty year follow-up of hip problems in arthrogryposis multiplex congenital. J Pediatr Orthop. 2002; 22(3):359-363

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