Reactive scoliosis: a challenging phenomenon in adolescent patients with hip arthritis

Chowdhry, M. and Matsen, Ko L. and Franklin, C. and Parvizi, J. (2017) Reactive scoliosis: a challenging phenomenon in adolescent patients with hip arthritis. Arthroplasty Today, 3 (3). pp. 160-163. ISSN 23523441

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Abstract

Functional limb length discrepancy (LLD) in adolescents can result from soft tissue contracture following long-standing hip disease. We present a case of a 13-year-old girl with difficulty in ambulation due to right hip pain and LLD. Radiographs revealed severe arthritis of right hip with signs of avascular necrosis of the femoral head. The patient had developed reactive scoliosis of lumbar spine along with pelvic obliquity. After failing conservative management, total hip arthroplasty (THA) without attempting to equalize LLD was performed. At 6-month follow-up, patient was pain free with full range of motion and her functional LLD was completely resolved. In such adolescent patients, reactive scoliosis of spine is reversible, and with no evidence of true LLD, THA without correcting LLD should be the right choice.

Item Type: Article
Uncontrolled Keywords: Adolescent; Limb length discrepancy; Reactive scoliosis; Slipped capital femoral epiphyses; Total hip arthroplasty
Subjects: R Medicine > R Medicine (General)
Divisions: Faculties > Faculty of Medicine
Depositing User: AMU Library
Date Deposited: 29 Jan 2018 07:12
Last Modified: 01 Feb 2018 04:50
URI: http://ir.amu.ac.in/id/eprint/11009

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