Hip Dysplasia and Osteogenesis Imperfecta: A Case Report

JBJS Case Connect. 2020 Oct 20;10(4):e20.00369. doi: 10.2106/JBJS.CC.20.00369.

Abstract

Case: A 1-week-old female patient presented to our clinic with bilateral dislocated hips and was subsequently treated in a Pavlik harness. Harness treatment failed requiring a closed reduction and spica cast application. In the Post-Anesthesia Care Unit (PACU), the patient was found to have a right humerus fracture. Six weeks after cast application, the patient was found to have nondisplaced bilateral femur fractures prompting a genetics evaluation. The patient was subsequently found to have osteogenesis imperfecta type 3.

Conclusion: Perioperative fractures in pediatric patients should raise suspicion for osteogenesis imperfecta. Early diagnosis can improve the management of hip dysplasia and allow for early bisphosphonate therapy.

Publication types

  • Case Reports

MeSH terms

  • Female
  • Femoral Fractures / diagnostic imaging
  • Femoral Fractures / etiology*
  • Hip Dislocation, Congenital / complications*
  • Hip Dislocation, Congenital / therapy
  • Humans
  • Humeral Fractures / diagnostic imaging
  • Humeral Fractures / etiology*
  • Infant, Newborn
  • Osteogenesis Imperfecta / complications*
  • Osteogenesis Imperfecta / diagnosis

Supplementary concepts

  • Osteogenesis imperfecta, type 3