The Story

'“Rhona presented to us with severe dysplasia of her left hip aged 58. Despite the radiological findings, Rhona’s mobility was still very good. She was happy with her native hip joint as it wasn’t causing her any pain or restricting any of her daily activities. She was keen to avoid surgery, so we made a joint decision to actively monitor the joint”.

To be checked by PROF


The Investigation

On examination, despite a marked leg length discrepancy, Rhona was able to comfortably walk across my clinic room without any difficulty.

To be completed by ROB


The Evidence

Anteroposterior and lateral plain radiographs demonstrated a severely deformed left hip as a result of developmental dysplasia of the hip, previous femoral osteotomy and avascular necrosis of the femoral head.


The Diagnosis

Rhona had a severely deformed left hip as a result of developmental dysplasia of the hip. Furthermore, she had a previous femoral osteotomy and avascular necrosis of the femoral head.


The Plan

After a lengthy discussion with Rhona, exploring the pros and cons of operative management, we opted for no surgical intervention with close follow-up.


The Verdict

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


In Closer Detail

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Evidence for this treatment

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Related Cases…

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