Assessment and Management of Residual Acetabular Dysplasia from Age 1 to 5 Years: Defining Normal Acetabular Index Values and Indications for Treatment.
Taylor R Johnson, Stephanie Y Pun, William Z Morris, Eduardo N Novais, Steven L Frick
{"title":"Assessment and Management of Residual Acetabular Dysplasia from Age 1 to 5 Years: Defining Normal Acetabular Index Values and Indications for Treatment.","authors":"Taylor R Johnson, Stephanie Y Pun, William Z Morris, Eduardo N Novais, Steven L Frick","doi":"10.2106/JBJS.RVW.25.00062","DOIUrl":null,"url":null,"abstract":"<p><p>» Persistent abnormal acetabular index values (>25-30° at 4-5 years or > 35° at 2 years of postreduction) may predict poor outcomes and indicate the need for pelvic osteotomy.» Assessment of the acetabular cartilaginous morphology and cartilaginous coverage of the femoral head by magnetic resonance imaging may assist in guiding surgical decisions.» Earlier pelvic osteotomy leverages remodeling potential, but observation until 4 to 5 years may be preferred to minimize risks and allow spontaneous correction.» Routine monitoring is crucial for stable, dysplastic hips, focusing on acetabular index trends over time.» Shared decision-making with families is essential to balance the risks of residual dysplasia and the likelihood of secondary procedures.</p>","PeriodicalId":47098,"journal":{"name":"JBJS Reviews","volume":"13 6","pages":""},"PeriodicalIF":2.4000,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"JBJS Reviews","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.2106/JBJS.RVW.25.00062","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/6/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0
Abstract
» Persistent abnormal acetabular index values (>25-30° at 4-5 years or > 35° at 2 years of postreduction) may predict poor outcomes and indicate the need for pelvic osteotomy.» Assessment of the acetabular cartilaginous morphology and cartilaginous coverage of the femoral head by magnetic resonance imaging may assist in guiding surgical decisions.» Earlier pelvic osteotomy leverages remodeling potential, but observation until 4 to 5 years may be preferred to minimize risks and allow spontaneous correction.» Routine monitoring is crucial for stable, dysplastic hips, focusing on acetabular index trends over time.» Shared decision-making with families is essential to balance the risks of residual dysplasia and the likelihood of secondary procedures.
期刊介绍：
JBJS Reviews is an innovative review journal from the publishers of The Journal of Bone & Joint Surgery. This continuously published online journal provides comprehensive, objective, and authoritative review articles written by recognized experts in the field. Edited by Thomas A. Einhorn, MD, and a distinguished Editorial Board, each issue of JBJS Reviews, updates the orthopaedic community on important topics in a concise, time-saving manner, providing expert insights into orthopaedic research and clinical experience. Comprehensive reviews, special features, and integrated CME provide orthopaedic surgeons with valuable perspectives on surgical practice and the latest advances in the field within twelve subspecialty areas: Basic Science, Education & Training, Elbow, Ethics, Foot & Ankle, Hand & Wrist, Hip, Infection, Knee, Oncology, Pediatrics, Pain Management, Rehabilitation, Shoulder, Spine, Sports Medicine, Trauma.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
