title: [Squatting cast for biomechanical treatment of decentred hip joints].
abstract: The so-called "congenital" luxation of the hip joint is endemic in Central Europe and occurs in about 1% of all newborn infants. By the means of ultrasonographic diagnosis according to the Graf method an early detection instantly after birth has become a good clinical routine in the German-speaking countries. Sonography-based conservative treatment has become the gold standard. The cast in squatting ("human") position is a standard procedure in order to retain the originally decentred or unstable hip joints in the reduced position: 100° flexion and 50° abduction are necessary to fix the hip joint in the reduced position without the risk of avascular necrosis. After the fixation in a squatting-cast, a period of functional bracing in flexed position enhances bony maturation. This two-phase functional conservative treatment can avoid later osteotomies or even early total hip replacement.
authors.affiliation: Orthopädie, LKH Stolzalpe, Österreich.
authors.forename: E
authors.initials: E
authors.lastname: Mühlbacher
authors.affiliation: Orthopädie, LKH Stolzalpe, Österreich.
authors.forename: W
authors.initials: W
authors.lastname: Lick-Schiffer
authors.affiliation: Orthopädie, LKH Stolzalpe, Österreich.
authors.forename: M
authors.initials: M
authors.lastname: Lojpur
authors.affiliation: Orthopädie, LKH Stolzalpe, Österreich.
authors.forename: F
authors.initials: F
authors.lastname: Baumgartner
authors.affiliation: Orthopädie, LKH Stolzalpe, Österreich.
authors.forename: T
authors.initials: T
authors.lastname: Spieß
authors.affiliation: Orthopädie, LKH Stolzalpe, Österreich.
authors.forename: C
authors.initials: C
authors.lastname: Tschauner
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D001696:Biomechanical Phenomena / Q000502:physiology; D001915:Braces; D002370:Casts, Surgical; D042241:Early Diagnosis; D061345:Early Medical Intervention; D005500:Follow-Up Studies; D006618:Hip Dislocation, Congenital / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000628:therapy; D006621:Hip Joint / Q000000981:diagnostic imaging / Q000503:physiopathology; D007593:Joint Instability / Q000503:physiopathology / Q000628:therapy; D011187:Posture / Q000502:physiology; D016059:Range of Motion, Articular / Q000502:physiology; D014463:Ultrasonography