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Perspectives on orthopaedics

A baby who drags one leg when crawling

Andrew W Leicester

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Abstract

Should a late diagnosis of congenital hip dislocation be considered in the case of this 10-month-old baby?

Article Extract

Case presentation
History and examination

A 10-month-old baby girl presented with a history of dragging her left leg while crawling. She had been born at full term by cephalic presentation, and she had no family history of hip dysplasia.

Examination revealed an extra crease on the left leg with some shortening of the leg. Instability of the left hip was apparent, with a clunk on Ortolani’s manoeuvre.

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