title: Multidirectional habitual bilateral hip dislocation in a patient with Down syndrome.
abstract: A multidirectional (anterior and posterior) bilateral habitual nontraumatic dislocation of the hip in a 3-year-old girl with Down syndrome is reported. The treatment was conservative with application of a spica cast for 12 weeks to shrink the capsule. During the first 6 weeks of treatment, the hips were immobilized in abduction and full external rotation. During the last 6 weeks, the hips were in abduction and slight internal rotation. After cast removal, the hips seemed to have been stabilized, and the child has remained asymptomatic for the last 12 months.
authors.affiliation: Third Orthopaedic Department of the Aristotle University of Thessaloniki, Papageorgiou General Hospital, 138 Al. Papanastasiou Str., 54249 Thessaloniki, Greece. mjkyrkos@hotmail.com
authors.forename: John M
authors.initials: JM
authors.lastname: Kirkos
authors.forename: Kyriakos A
authors.initials: KA
authors.lastname: Papavasiliou
authors.forename: Margaritis J
authors.initials: MJ
authors.lastname: Kyrkos
authors.forename: George A
authors.initials: GA
authors.lastname: Kapetanos
mesh_terms: D001915:Braces; D002370:Casts, Surgical; D002675:Child, Preschool; D004314:Down Syndrome / Q000150:complications*; D005260:Female; D006618:Hip Dislocation, Congenital / Q000000981:diagnostic imaging / Q000628:therapy*; D006801:Humans; D007103:Immobilization; D011859:Radiography