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FlowerHip Dysplasia
Programs that treat this condition
 Adolescent and Young Adult Hip Program    General Orthopedic Program  
 Myelodysplasia (Spina Bifida) Clinic   
Hip Dysplasia, sometimes referred to as DDH (Developmental Dysplasia of the Hip), is a relatively common abnormality in the shape of the hip joint. This abnormality originates at birth or in early childhood. DDH is the most common developmental hip deformity causing symptoms in adults and is also the most common single cause of osteoarthritis in the hip. In its most frequent form, hip dysplasia consists of a shallow acetabulum (hip socket). The shallowness of the acetabulum causes the head of the femur to exert excessive pressure on the rim of the acetabulum.

The risk factors for developmental dislocation of the hip and hip instability include anything that involves stretching the hip ligaments, or causes a baby's legs and hips to be positioned so as to point the femoral head out of the acetabulum. Specific risk factors for DDH include the following:

  • A normal acetabulum "covers" the upper (superior) portion of the head of the femur as well as a portion of the front (anterior) and back (posterior) of the femoral head.
  • Acetabular dysplasia is a condition defined by inadequate development of an individual's acetabulum. The resulting acetabulum is shallow and "dish-shaped" rather than "cup-shaped".
  • The upper portion (roof of the acetabulum) is tilted outward rather than having the normal horizontal orientation. As a result, the superior and usually anterior femoral head are incompletely covered by this dysplastic acetabulum.
  • Acetabular dysplasia is associated with an abnormally high stress on the outer edge (rim) of the acetabulum, which leads to a mechanical breakdown of the articular cartilage (arthritis).
  • The rim overload from the dysplasia may also cause breakdown of the acetabular labrum or a fatigue fracture of the rim of the acetabulum.
  • Any one or a combination of these conditions can cause hip pain sufficient for the patient to seek medical evaluation and treatment.
  • Individuals with acetabular dysplasia often go through childhood and adolescence without symptoms or knowledge of their condition.
  • In young adulthood, these individuals may experience hip pain and seek medical evaluation. At that time, an x-ray will reveal the acetabular dysplasia.
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