Early diagnosis of Developmental Dysplasia of the HIP (DDH) in newborns is essential if treatment is to be successful. Despite the introduction of clinical screening and early treatment of DDH the prevalence of subluxated/ luxated HIPs in later infancy is still reported. For babies at risk, some authors suggest ultrasonography (US) combined with clinical examination. In this prospective study we compared clinical and ultrasonographic findings of 180 high risk neonates during two weeks of their birth in a maternity hospital which is referral for high risk pregnancies.We could perform US in 180 cases with one or more risk factors of DDH, or with positive physical examination. Among them 28 (15%) had immature and 13 (7.2%) had dysplastic HIPs.All the babies with immature HIP had normal HIP in follow up studies at 4 to 6 weeks of age. Ten (77%) out of 13 infants with dysplastic HIP, had positive clinical findings. Twenty (33%) infants out of 59 infants with positive physical examination had normal sonography. The accuracy, specificity and sensitivity of physical examination were 71.1%, 70.6% and 76.9%, positive and negative predictive values were also 16.9% and 97.5% respectively that were similar to the other studies. Although most of dysplastic HIPs were recognized by primary clinical examination, but 3 cases were missed.In the presence of risk factors, further caution and follow up clinical examination might be exercised and another level of screening could be considered.

Femoral head fracture is a rare concomitant injury with traumatic posterior dislocation of HIP JOINT, but isolated traumatic femoral head fracture without dislocation has not been reported so often.The fracture pattern is similar to Pepkins type 2 but its unique features which are being located completely above cotyloid fossa and being without dislocation have left it apart from classic Pepkins classification.Hereby is a report of a 20 yeas old man following motorcycle to car accident.

Trevor disease or dysplasia epiphysealis hemimelica (DEH) is an extremely rare condition with incidence of about 1: 1, 000, 000. Male to female ratio of reporting case is 3: 1, and usually diagnosed between two and eight years old. It usually affects the medial portion of the JOINT, but lateral involvement is not uncommon. HIP-JOINT was affected in less than 4% of existing cases in the literature. It would be very important to precisely mange the HIP involvement to prevent from further articular cartilage destruction in this very young age. We report an infant boy with isolated DEH of HIP. We found a total of 271 cases of DEH that reported between 1926 and 2017. The most sites of involvement are ankle JOINT and around the knee. Our search reaches out to ten cases of HIP involvement. HIP involvement needs a patient specified decision. We observed our patient for three years with a desirable HIP JOINT function.

Introduction & Background: The harmful effects of x-rays on sensitive cells such as those of sex gonads are a well-established fact. Therefore, special care should be taken in HIP radiographies to protect the gonads. According to the most recent references, to locate the head of femur and its JOINT in HIP radiographies, a line should be drawn from the ASIS to syphilis pubis. To locate the head of the JOINT, we had to move 2.5cm inferior and laterally from the middle of the men-tined line. The outer end of this new line indicates the position of the femur head. However, due to the lack of accurate instruments in wards and the variety of diseases and also to avoid repetitive HIP radiographies, we decided to apply an experimental method. Patients & Methods: In this study, HIP radiographies with FFD=100 were done for 50 patients of both sex with different ages. In all instances the distances be-teen syphilis pubis and the greater truanted, the base of the lesser truanted, and upper edge of acetabulum, and syphilis pubis and the center of femur, were measured on the radiographs by means of a standard ruler. The findings were then statistically analyzed. The radiography apparatus was Phil-lips 500MA model D7. Results: In this study, it was shown that in 27 cases, the distance between syphilis pubis and the center of the head of femur was equal to the distance be-teen the base of the lesser truanted and the upper edge of acetabulum. There was also a difference of 0.5, 1, and 2.5 centimeters in 14, 10, and 3 cases re-spectively. Conclusion: These findings were statistically signify-cant and new. This is notable with regard to the ease of locating the HIP JOINT in small radiographs. In addition it has the advantage of a small degree of gonad protection.