Clinical History, Examination and Blood Test Results

  • Step 1 case 1 is a 58-year-old female presenting to our clinic for a monitoring of her dysplastic left hip.

  • Her left hip does not cause her any discomfort, enables satisfactory walking and the patient is keen to avoid surgical intervention.


Imaging Results

ANTEROPOSTERIOR RADIOGRAPH 

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LATERAL RADIOGRAPH

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Anteroposterior (AP) and lateral radiographs show a severely deformed left hip as a result of developmental dysplasia of the hip, previous femoral osteotomy and avascular necrosis of the femoral head.


Diagnosis

  • A severely deformed left hip as a result of developmental dysplasia of the hip, previous femoral osteotomy and avascular necrosis of the femoral head.


Treatment

  • Surgeon and patient agreed on continued follow up and no surgical intervention.


Clinical Outcomes

  • This lady is still living comfortably with her dysplastic hip. She is able to mobilise without pain and wants to avoid surgery until her hip causes her any discomfort.


Learning Points

  • Surgery is not always indicated for severely deformed hips. Shared decision making with the patient after explanation of the current and future problems is recommended for most complex hip problems.