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Medical Forum / Diseases and Disorders / Arthritis / December 2006

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acetabulum not well formed, acetabular Dysplasia

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Ganesh - 01 Dec 2006 18:51 GMT
Hi,

this is the XRAY report of one of my friends sister.

LEft medial aspects of acetabulum not well formed with poorly
modelling, left femoral head S/O acetabular Dysplasia

what's this condition known as? I need to know details if this is
curable.

Ganesh
d'huit - 01 Dec 2006 19:30 GMT
hi ganesh,

i could be wrong, and i'm not a doctor, but it sounds to me like a
dislocated hip.  your friend's sister needs to ask her doctor what this
implies.

kate

Hi,

this is the XRAY report of one of my friends sister.

LEft medial aspects of acetabulum not well formed with poorly
modelling, left femoral head S/O acetabular Dysplasia

what's this condition known as? I need to know details if this is
curable.

Ganesh
Fire Chief - 01 Dec 2006 21:00 GMT
> LEft medial aspects of acetabulum not well formed

acetabulum:  the cavity or depression on the lateral surface of the
innominate bone that provides the socket into which the head of the
femur fits.

> with poorly modelling, left femoral head S/O acetabular Dysplasia

dysplasia: abnormal development of tissue.

> what's this condition known as?

Seems the terms you used   ** IS **  the condition.  What more do you
want?

>  I need to know details if this is curable.

Why doesn't the patient ask her doctor?   None of us here are trained
in medicine.

... URA Redneck if you've asked the preacher "How's it hangin'?"
Ganesh - 02 Dec 2006 01:47 GMT
> > with poorly modelling, left femoral head S/O acetabular Dysplasia
>
[quoted text clipped - 4 lines]
>  Seems the terms you used   ** IS **  the condition.  What more do you
> want?

The doctors here have given up the hope. Thanks I need to know what
should I search using. I wanted to send mailers to all the important
hospitals around the world. But before I write I needed to be pin point
sure the exact condition of the problem so that the doctor/ expert
knows if that's curable at their end.

>From your reference I at least understood that the problem is known as

"Hip Dysplasia"

and now i've got

http://www.colonialvet.com/patient_resources/surgery.php

so if I study more regularly on this subject. I'll come to know more on
this.

Now... again.. this condition of her is from the time of her birth. If
there are any experienced people with this subject, I'd appreciate if I
get to know accurately if this particular problem is treatable. And, if
it's treated anywhere in the world. I need relevant data of patients
with similar case study being treated 100%.

Ganesh
Fire Chief - 02 Dec 2006 04:29 GMT
> Now... again.. this condition of her is from the time of her birth.

I suspected that from the description.  Either genetic (what about
her parents) or a mutation.

> If there are any experienced people with this subject, I'd appreciate if
> I get to know accurately if this particular problem is treatable. And, if
> it's treated anywhere in the world. I need relevant data of patients
> with similar case study being treated 100%.

How old is this girl?   I'd bet doctors anywhere in the world would
say
to wait until she has completed her growth spurt.  There would not be
much sense doing anything corrective now if she's young and would
outgrow the correction - like kids outgrow shoes and clothing.

... URA Redneck if your kids take a siphon hose to show and tell.
spodosaurus - 02 Dec 2006 04:58 GMT
>> Now... again.. this condition of her is from the time of her birth.
>
[quoted text clipped - 13 lines]
>
> ... URA Redneck if your kids take a siphon hose to show and tell.

That's right. When she's reached maximum growth she'll have a hip
replacement. Until then, crutches or a wheelchair.

Ari

Signature

spammage trappage: remove the underscores to reply
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deowll - 02 Dec 2006 21:43 GMT
>>> Now... again.. this condition of her is from the time of her birth.
>>
[quoted text clipped - 17 lines]
> That's right. When she's reached maximum growth she'll have a hip
> replacement. Until then, crutches or a wheelchair.

Some of them can walk anyway. Cousin, female that did. Hip surgery after
growth stops.

> Ari
Ganesh - 03 Dec 2006 13:40 GMT
> That's right. When she's reached maximum growth she'll have a hip
> replacement. Until then, crutches or a wheelchair.

But is there any place in the world you all know where this operation
is done 100% successfully. Also if the data of recovering patients
available would do a lot good.

Ganesh
spodosaurus - 03 Dec 2006 13:49 GMT
>> That's right. When she's reached maximum growth she'll have a hip
>> replacement. Until then, crutches or a wheelchair.
[quoted text clipped - 4 lines]
>
> Ganesh

Hip replacement is somewhat routine and performed worldwide. I've had
two, both of my hips are artificial. How old is your friend's sister?
They cannot perform the operation until she has stopped growing. Also,
for her disorder, there may be other measures that can be taken to
ameliorate things until she can get surgery.

Ari

Signature

spammage trappage: remove the underscores to reply
Many people around the world are waiting for a marrow transplant. Please
volunteer to be a marrow donor and literally save someone's life:
http://www.abmdr.org.au/
http://www.marrow.org/

spodosaurus - 03 Dec 2006 13:51 GMT
>>> That's right. When she's reached maximum growth she'll have a hip
>>> replacement. Until then, crutches or a wheelchair.
[quoted text clipped - 11 lines]
>
> Ari

If she's young enough, other surgeries are available:

http://orthopedics.about.com/od/pediatrichipinjuries/a/dysplasia.htm

Signature

spammage trappage: remove the underscores to reply
Many people around the world are waiting for a marrow transplant. Please
volunteer to be a marrow donor and literally save someone's life:
http://www.abmdr.org.au/
http://www.marrow.org/

div612001@gmail.com - 04 Dec 2006 04:16 GMT
Ari-
Ganesh is talking abt my sister. She is 15 yrs old. She already had 3
operations. Still her condition is not satisfactory. Her knee is also
weak to help her stand up. She uses Splinters for support. Can you tell
me by this Hip replacement can everyone walk like a nomal person all by
herself without support. Does this operation done once or till requires
to be done many times? How much will it cost?

> >> That's right. When she's reached maximum growth she'll have a hip
> >> replacement. Until then, crutches or a wheelchair.
[quoted text clipped - 19 lines]
> http://www.abmdr.org.au/
> http://www.marrow.org/
spodosaurus - 04 Dec 2006 05:31 GMT
> Ari-
> Ganesh is talking abt my sister. She is 15 yrs old. She already had 3
> operations. Still her condition is not satisfactory. Her knee is also
> weak to help her stand up. She uses Splinters for support. Can you tell
> me by this Hip replacement can everyone walk like a nomal person all by
> herself without support.

That depends on how much ligament tightening is required during the
operation and the skill of the surgeon. My hips are great, it's my other
damaged joints that are the problem! My surgeon was also very good. Crap
bedside manner, but an artist in the operating theatre. Given her young
age, they will use an uncemented prosthesis in case she needs another
later in life (they sometimes wear out). As such, full bone healing can
take up to 18 months. After 6 months most normal activities can be
resumed, with some cautions.

 > Does this operation done once or till requires
> to be done many times?

If something goes wrong, a revision may be needed. Especially if someone
doesn't follow the post-operative rules for 3 months. Your sister is
still too young. Growth can continue into the early 20s. There are
braces that can be used to support her hip, but she will likely need a
walking aid as well. When she's in her early 20s she's much more likely
to find a surgeon to perform the operation. I was 25 when I had my first
hip replacement. Will I have to have a revision? Noone really knows. My
hips are now made of the same materials they use on the space shuttle
and armoured personnel carriers! If over 15-30 years they wear out, I'll
have to have another operation called a revision. these are harder to do
because it means undoing all the bone growth into the prosthesis, but
they are done and they are not uncommon. I don't think I have anything
to worry about for several more decades. Given my bone marrow problems,
I'll be lucky if I live anywhere near that long!

> How much will it cost?

That depends on the hospital, the country you're in, medical insurance
(if any), and the doctor performing the surgery. I think you should be
able to find more information using google.com searches. That's where
I'd be looking for these answers.

>>>> That's right. When she's reached maximum growth she'll have a hip
>>>> replacement. Until then, crutches or a wheelchair.
[quoted text clipped - 11 lines]
>>
>> Ari

Signature

spammage trappage: remove the underscores to reply
Many people around the world are waiting for a marrow transplant. Please
volunteer to be a marrow donor and literally save someone's life:
http://www.abmdr.org.au/
http://www.marrow.org/

ladylove77 - 03 Dec 2006 16:05 GMT
Ganesh, there are many of us who have had 100% successful hip replacements,
me for one.  Go to
http://www.totallyhip.org and you can get all the information you need.
Gwen

>> That's right. When she's reached maximum growth she'll have a hip
>> replacement. Until then, crutches or a wheelchair.
[quoted text clipped - 4 lines]
>
> Ganesh
Fire Chief - 04 Dec 2006 01:52 GMT
You haven't answered our questions?  How old is the lady?
And in which country does she reside.

> But is there any place in the world you all know where this operation
> is done 100% successfully.

People get shoulder replacements, knee replacements, and hip
replacements on a daily basis today.  The surgeon who did my
hip replacement 6 years ago hasn't had a failure.  There are
probably 2 dozen - if not more - examples in this group.

Failures occur because patients go beyond the limits set by the
surgeon/PT/OT - they bend more than 90 degrees at the hip, they
lift too much weight, they cross their legs, they fail to perform the
pre-op and post-op exercises designed to strengthen the hip.

> Also if the data of recovering patients available would do a lot good.

Every manufacturer collects its own data.  There is no central
storage place for it unless there is a recall of replacement parts.
Then Uncle Sam announces it and places it on web sites.

... URA Redneck if your life's goal is to own a fireworks stand.
div612001@gmail.com - 04 Dec 2006 04:31 GMT
She is 15yrs old. We reside in India. Does this operation helps to
stand without any support like normal people? Is this operation done
once or does it have to be repeated again? R u able to walk all by
urself. My sis needs support & cannot walk without her splinters. Will
this operation 100% satisfactory?

>  You haven't answered our questions?  How old is the lady?
>  And in which country does she reside.
[quoted text clipped - 19 lines]
>
> ... URA Redneck if your life's goal is to own a fireworks stand.
div612001@gmail.com - 04 Dec 2006 04:31 GMT
She is 15yrs old. We reside in India. Does this operation helps to
stand without any support like normal people? Is this operation done
once or does it have to be repeated again? R u able to walk all by
urself. My sis needs support & cannot walk without her splinters. Is
this operation 100% satisfactory?

>  You haven't answered our questions?  How old is the lady?
>  And in which country does she reside.
[quoted text clipped - 19 lines]
>
> ... URA Redneck if your life's goal is to own a fireworks stand.
Ganesh - 07 Dec 2006 04:59 GMT
>  You haven't answered our questions?  How old is the lady?
>  And in which country does she reside.

Currently she's 15 years and she's from india.

>  Failures occur because patients go beyond the limits set by the
>  surgeon/PT/OT - they bend more than 90 degrees at the hip, they
>  lift too much weight, they cross their legs, they fail to perform the
>  pre-op and post-op exercises designed to strengthen the hip.

Do you know any website where I can find more details about the care to
be taken?

Also, are there any important care to be taken when she is still
growing? *** As, it seems she has to wait for another couple of years
before she has completed her growth.

Ganesh
Paul T. Holland - 07 Dec 2006 20:39 GMT
take a look at these stories - it may lead you to resources that you
seek:

http://www.arc.org.uk/newsviews/arctdy/133/ArthritisResearchCampaignHipTeens.htm
http://www.dcu.ie/alumni/winter02/p8.html
http://www.specialistinfo.com/thget.php?t=t_si&r=young
http://experts.about.com/q/Orthopedics-980/Teens-hip-replacements.htm
http://www.ucsfhealth.org/common/pubs/ortho/summer2005/hip_surgery/index.html
http://www.hopkinsmedicine.org/orthopedicsurgery/slippedcapital.html
http://publicaffairs.uth.tmc.edu/hleader/archive/Arthritis/2005/straightfromhip-
0624.html

http://www.1888articles.com/hip-replacement-hip-resurfacing-birmingham-hip-at-lo
w-cost-07f32nlc44.html

http://www.mja.com.au/public/issues/180_05_010304/hor10355_fm.html
http://www.lifebridgehealth.org/22883.cfm

> >  You haven't answered our questions?  How old is the lady?
> >  And in which country does she reside.
[quoted text clipped - 14 lines]
>
> Ganesh
 
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