title: Closed treatment of hip dislocation in Down syndrome.
abstract: Two young children (three hips) with Down syndrome and dislocation of the hip were successfully treated by nonoperative methods by using the principle of prolonged immobilization or bracing. A 5-year, 6-month-old patient with bilateral habitual dislocation used an ambulatory abduction orthosis full-time for 6 months and then part-time for 4 months. Complete dislocation of the right hip in a 4-year, 6-month-old patient was managed by closed reduction, spica cast immobilization for 4 months, and then an ambulatory abduction orthosis for 8 months. Both patients developed stable, well-contained hips. Nonoperative management of hip dislocation in Down syndrome can be successful and avoids the complications associated with operations previously recommended for these patients.
authors.affiliation: Department of Orthopaedic Surgery, University of Missouri, Columbia 65212, USA.
authors.forename: W B
authors.initials: WB
authors.lastname: Greene
mesh_terms: D001915:Braces; D002370:Casts, Surgical; D002648:Child; D002675:Child, Preschool; D004314:Down Syndrome / Q000150:complications*; D005260:Female; D006617:Hip Dislocation / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy*; D006801:Humans; D007103:Immobilization; D011859:Radiography