Mr Paul Gaston, Orthopaedic Surgeon

MBChB (Hons), FRCSEd, FRCS (Tr&Orth)

Adult manifestation of childhood hip conditions

Three classical conditions affect the hip in childhood including Developmental Dysplasia of the Hip (DDH – ‘clicky hips’ in newborns, but can be mild and not manifest until adult life), Perthes Disease in Children (Avascular Necrosis of the femoral head leading to collapse and then a misshapen ball and socket joint) and Slipped Upper Femoral Epiphysis in Adolescents (the femoral head moves during the growth spurt, again leading to an abnormal shape). These can all predispose to relatively early onset osteoarthritis in adulthood, leading to the need for joint surgery younger than one would normally expect (eg in the 40s or 30s or even in the 20s in some cases).

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