Down's syndrome and hip arthropathy.
We report a case of a 19 year old male with Down's syndrome who presented with severe functional disability and pain secondary to bilateral hip arthritis. He had longstanding developmental dysplasia of the hip (DDH) that had evolved into end stage arthritis. Following a comprehensive assessment and counselling, he underwent bilateral total hip replacements. At last follow up, he had excellent outcome for function and pain relief. This case highlights the good results achievable with aggressive management of musculo-skeletal conditions (especially hip arthropathy) in those with Down's syndrome and the need for increased recognition of these conditions.
Solayar
G
G
Orthopaedic Department, Mater Misericordiae University Hospital, Eccles St, Dublin 7. solayarg@hotmail.com
Hussey
D
D
Kelly
B
B
Mulhall
K J
KJ
D000328:Adult; D018771:Arthralgia / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology* / Q000601:surgery; D019644:Arthroplasty, Replacement, Hip; D004314:Down Syndrome / Q000150:complications / Q000000981:diagnostic imaging* / Q000503:physiopathology; D006618:Hip Dislocation, Congenital / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology* / Q000601:surgery; D006621:Hip Joint / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D006801:Humans; D008297:Male; D011859:Radiography