Congenital Hip Dislocation with a Genu Recurvatum in Togo: A Case Report

Author:

FY Agbeko1ORCID,M Fiawoo2,RA Djomaleu3,M NZonou4,S Talboussouma5,M Hemou6,HD Batalia3,RB Kérékou6,M Pakoudjare6,KE Abalo3,B Saka7,DK Azoumah7,EK Djadou2,KN Douti1,KG Akakpo-Numado8,AD Gbadoe9,YD Atakouma2

Affiliation:

1. Department of Pediatrics, Faculty of Health Sciences, University of Lomé, Togo; CHU Campus, Department of Pediatrics, University of Lomé, Togo

2. Department of Pediatrics, Faculty of Health Sciences, University of Lomé, Togo; CHU Sylvanus Olympio, Department of Pediatrics, University of Lomé, Togo

3. CHU Sylvanus Olympio, Department of Pediatrics, University of Lomé, Togo

4. Hôpital de Bè, Department of Pediatrics, University of Lomé, Togo

5. CHU Kara, Department of Pediatrics, University of Lomé, Togo

6. CHU Campus, Department of Pediatrics, University of Lomé, Togo

7. CHU Sylvanus Olympio, Department of Dermatology, University of Lomé, Togo

8. CHU Campus, Department of Pediatrics Surgery, University of Lomé, Togo

9. Department of Pediatrics, Faculty of Health Sciences, University of Lomé, Togo; Hôpital de Bè, Department of Pediatrics, University of Lomé, Togo

Abstract

Introduction: CHD is a condition, which is frequent in pediatrics in the Caucasian population, remains rare in the Black population, and exceptional in sub-Saharan Africa. The Patient: We report this first Togolese case of bilateral congenital dislocation of the hip associated with genu recurvatum observed in a newborn received on the second day of life. The Primary Diagnoses, Interventions, and Outcomes: The pediatric examination had noted extension of lower limbs. The thighs were in adduction with a stiff bilateral genu recurvatum. The abduction of the thighs on the pelvis was considerably limited. The Barlow and Ortolani maneuvers showed a protrusion. There was also a camptodactyly of the thumbs and a cleft palate. The rest of the examination was normal. Ultrasound of the hip showed a bilateral congenital dislocation of the hip with an estimated acetabular fundus of 7 mm on both the right and left sides. Ultrasound and radiography of the knees were normal. Conclusion: Clinical examination at birth is the key step in diagnosis of congenital hip dislocation. In situations where diagnosis is difficult, ultrasound is of capital importance. Treatment is in the majority of cases orthopedic.

Publisher

Asploro Open Access Publications

Reference18 articles.

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2. Pfliger F. Luxation congénitale de hanche. Conduite à tenir en période néonatale [Congenital hip dislocation. What to do during the neonatal period]. Archives de pédiatrie. 2012;6(19):H239-40. (French)

3. Demange P, Adamsbaum C, Manlot D, Kalifa G, Seringe R. Imagerie de la dysplasie et de la luxation congénitale de hanche [Imaging of dysplasia and congenital hip dislocation]. Encycl Med Chir Pédiatrie u Mal Infect. 2002. (French)

4. Bourgeois E. La luxation congénitale de hanche, résultats coxométriques et évaluation des traitements, à propos d’une série de 35 cas. Médecine humaine et pathologie. 2010. dumas-00626453.

5. Wandaogo A, Bandre E, Tapsoba TL, Cisse R, Traore O, Traore A, Sanou A. La maladie luxante de la hanche (MLH). Dépistage au CHU de Ouagadougou sur un échantillon de 2514 nouveaux-nés [Dislocated hip disease (MLH). Screening at Ouagadougou University Hospital on a sample of 2,514 newborns]. e-mémoires de l’Académie Nationale de Chirurgie. 2003;2(2):43-46. (French)

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