Turra S, Gigante C, Iacobellis C
Divisione di Ortopedia Ospedale Civile di Treviso.
Chir Organi Mov. 1995 Apr-Jun;80(2):245-8.
Two cases of monolateral voluntary hip dislocation in Down's syndrome are reported. No surgical procedure was permitted by the family in either case, thus showing the natural evolution of the joint morphology. In the case observed a year after the onset of hip dislocation CT Scan already showed an initial smoothing of the posterior acetabular wall. In the other case, after a 9 year follow-up, the voluntary hip dislocation was followed by progressive subluxation and fixed dislocation at the end. This suggests that only early surgical treatment can prevent this outcome.
本文报告了两例唐氏综合征患者单侧自发性髋关节脱位的病例。两例患者家属均未同意进行手术治疗，从而展现了关节形态的自然演变过程。在髋关节脱位发病一年后进行观察的病例中，CT扫描已显示髋臼后壁开始出现平滑现象。在另一例病例中，经过9年的随访，自发性髋关节脱位之后逐渐出现半脱位，最终发展为固定性脱位。这表明只有早期手术治疗才能避免这种结局。
