title: The fate of hips that are conservatively treated in multiple epiphyseal dysplasia.
abstract: We reviewed the radiologic and clinical outcomes of hip joints affected by multiple epiphyseal dysplasia in 40 patients. The average patient age was 9.6 years. All patients were followed up for an average of 7.2 years. No patient underwent surgical treatment. The variances of the center-edge angle and femoral head coverage had the greatest tendency to increase with conservative treatment and follow-up (P=0.011 and 0.015, respectively). The acetabular angle and the acetabular depth index at the first visit and the latest follow-up were statistically significantly different (P=0.046 and 0.027, respectively). According to the Stulberg classification, the severity of hip deformity became less severe with age, but this was not statistically significant (P=0.090). Larger improvements in Harris hip scores were identified after conservative treatment (P=0.003). Favorable midterm outcomes were obtained for the treatment of hip deformity in multiple epiphyseal dysplasia patients by conservative treatment.
authors.affiliation: aDepartment of Orthopaedics, Hanil General Hospital bDepartment of Orthopaedic Surgery, Korea University Medical Center, Institute for Rare Diseases, Guro Hospital, Seoul, Korea.
authors.forename: Seung-Ju
authors.initials: SJ
authors.lastname: Kim
authors.forename: Ashok K
authors.initials: AK
authors.lastname: Ramanathan
authors.forename: Young-Sik
authors.initials: YS
authors.lastname: Jeon
authors.forename: Hae-Ryong
authors.initials: HR
authors.lastname: Song
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D000072700:Conservative Treatment; D005260:Female; D005270:Femur Head / Q000002:abnormalities / Q000000981:diagnostic imaging / Q000503:physiopathology; D005532:Foot Deformities, Congenital / Q000628:therapy*; D005684:Gait; D006228:Hand Deformities, Congenital / Q000628:therapy*; D006621:Hip Joint / Q000002:abnormalities / Q000000981:diagnostic imaging / Q000503:physiopathology*; D006801:Humans; D008297:Male; D010009:Osteochondrodysplasias / Q000628:therapy*; D010147:Pain Measurement; D011859:Radiography; D012189:Retrospective Studies; D016896:Treatment Outcome; D055815:Young Adult