Hip Dysplasia and Osteogenesis Imperfecta: A Case Report.
CASE: A 1-week-old female patient presented to our clinic with bilateral dislocated hips and was subsequently treated in a Pavlik harness. Harness treatment failed requiring a closed reduction and spica cast application. In the Post-Anesthesia Care Unit (PACU), the patient was found to have a right humerus fracture. Six weeks after cast application, the patient was found to have nondisplaced bilateral femur fractures prompting a genetics evaluation. The patient was subsequently found to have osteogenesis imperfecta type 3.
CONCLUSION: Perioperative fractures in pediatric patients should raise suspicion for osteogenesis imperfecta. Early diagnosis can improve the management of hip dysplasia and allow for early bisphosphonate therapy.
Published In/Presented At
Mandel, M., Saloky, K., Mirenda, W., Seeley, A., & Seeley, M. (2020). Hip Dysplasia and Osteogenesis Imperfecta: A Case Report. JBJS case connector, 10(4), e20.00369. https://doi.org/10.2106/JBJS.CC.20.00369
Medicine and Health Sciences
Department of Surgery, Fellows and Residents, Department of Surgery Residents