chiari

Definition

Lateral curvature of the spine with vertebral rotation

- defined as > 10^o coronal plane deformity

- occurs at or near the onset of puberty 

- no cause is established

Planes of Deformity

Triplanar

- coronal / scoliosis

Dislocated Hip

Issue

Hip has been out for some time

- degree of acetabular dysplasia evident

- less time for remodelling

- increased instability if not addressed

Management

Open reduction + FDRO / Pelvic Osteotomy 

- usually perform pelvic osteotomy to correct acetabular dysplasia

- reserve FDRO for > 3 years / or if difficult reducing hip