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  • Title: Hip Dysplasia and Osteogenesis Imperfecta: A Case Report.
    Author: Mandel M, Saloky K, Mirenda W, Seeley A, Seeley M.
    Journal: JBJS Case Connect; 2020 Oct 20; 10(4):e20.00369. PubMed ID: 33433965.
    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.
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