Ipsilateral Hip Dysplasia in Patients with Sacral Hemiagenesis: A Report of Two Cases
Sacral agenesis (SA) is a rare condition consisting of the imperfect development of any part of the sacrum. This paper describes two cases of the rare cooccurrence of ipsilateral SA and developmental dysplasia of the hip (DDH) and analyzes possible contributory factors for SA and DDH. Each of a 16-y...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2015/854151 |
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| author | Tadatsugu Morimoto Motoki Sonohata Masaaki Mawatari |
| author_facet | Tadatsugu Morimoto Motoki Sonohata Masaaki Mawatari |
| author_sort | Tadatsugu Morimoto |
| collection | DOAJ |
| description | Sacral agenesis (SA) is a rare condition consisting of the imperfect development of any part of the sacrum. This paper describes two cases of the rare cooccurrence of ipsilateral SA and developmental dysplasia of the hip (DDH) and analyzes possible contributory factors for SA and DDH. Each of a 16-year-old female and 13-year-old female visited our hospital for left hip pain and limping. The findings of physical examinations showed a lower limb length discrepancy (left side) in both cases, as well as left hip pain without limitations of the range of motion or neurological deficits. Initial radiographs demonstrated left subluxation of the left hip with associated acetabular dysplasia and partial left sacral agenesis. MRI revealed a tethering cord with a fatty filum terminale, and periacetabular osteotomy combined with allogeneic bone grafting was performed. After the surgery, the patients experienced no further pain, with no leg length discrepancy and were able to walk without a limp, being neurologically normal with a normal left hip range of motion. The cooccurrence of SA and DDH suggests a plausible hypothesis to explain the embryogenic relationship between malformation of the sacrum and hip. |
| format | Article |
| id | doaj-art-1559b2aa332348408f3e93a077c2408b |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-1559b2aa332348408f3e93a077c2408b2025-02-03T06:08:09ZengWileyCase Reports in Orthopedics2090-67492090-67572015-01-01201510.1155/2015/854151854151Ipsilateral Hip Dysplasia in Patients with Sacral Hemiagenesis: A Report of Two CasesTadatsugu Morimoto0Motoki Sonohata1Masaaki Mawatari2Department of Orthopaedic Surgery, Faculty of Medicine, Saga University, 5-1-1 Nabeshima, Saga 849-8501, JapanDepartment of Orthopaedic Surgery, Faculty of Medicine, Saga University, 5-1-1 Nabeshima, Saga 849-8501, JapanDepartment of Orthopaedic Surgery, Faculty of Medicine, Saga University, 5-1-1 Nabeshima, Saga 849-8501, JapanSacral agenesis (SA) is a rare condition consisting of the imperfect development of any part of the sacrum. This paper describes two cases of the rare cooccurrence of ipsilateral SA and developmental dysplasia of the hip (DDH) and analyzes possible contributory factors for SA and DDH. Each of a 16-year-old female and 13-year-old female visited our hospital for left hip pain and limping. The findings of physical examinations showed a lower limb length discrepancy (left side) in both cases, as well as left hip pain without limitations of the range of motion or neurological deficits. Initial radiographs demonstrated left subluxation of the left hip with associated acetabular dysplasia and partial left sacral agenesis. MRI revealed a tethering cord with a fatty filum terminale, and periacetabular osteotomy combined with allogeneic bone grafting was performed. After the surgery, the patients experienced no further pain, with no leg length discrepancy and were able to walk without a limp, being neurologically normal with a normal left hip range of motion. The cooccurrence of SA and DDH suggests a plausible hypothesis to explain the embryogenic relationship between malformation of the sacrum and hip.http://dx.doi.org/10.1155/2015/854151 |
| spellingShingle | Tadatsugu Morimoto Motoki Sonohata Masaaki Mawatari Ipsilateral Hip Dysplasia in Patients with Sacral Hemiagenesis: A Report of Two Cases Case Reports in Orthopedics |
| title | Ipsilateral Hip Dysplasia in Patients with Sacral Hemiagenesis: A Report of Two Cases |
| title_full | Ipsilateral Hip Dysplasia in Patients with Sacral Hemiagenesis: A Report of Two Cases |
| title_fullStr | Ipsilateral Hip Dysplasia in Patients with Sacral Hemiagenesis: A Report of Two Cases |
| title_full_unstemmed | Ipsilateral Hip Dysplasia in Patients with Sacral Hemiagenesis: A Report of Two Cases |
| title_short | Ipsilateral Hip Dysplasia in Patients with Sacral Hemiagenesis: A Report of Two Cases |
| title_sort | ipsilateral hip dysplasia in patients with sacral hemiagenesis a report of two cases |
| url | http://dx.doi.org/10.1155/2015/854151 |
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