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Fig. 5 | BMC Pediatrics

Fig. 5

From: Magnetic resonance imaging follow-up can screen for soft tissue changes and evaluate the short-term prognosis of patients with developmental dysplasia of the hip after closed reduction

Fig. 5

A female patient 10 months after closed reduction and spica casting of the left hip joint. The patient underwent MRI examination of both hips immediately after CR, 3 months after CR, and five and a half months after reduction. a and b show the coronal and transverse FS PDWI images of MRI immediately after CR. It is suggested that the LCC of the left hip is hypertrophied and completely inverted immediately after reduction, which is considered as type 4; the ligamentum teres, transverse ligament, and pulvinar are hypertrophic. c shows that the LCC became flattened 3 months after reduction, and the ligamentum teres, transverse ligament, and pulvinar were less hypertrophic than before. d shows that five and a half months after reduction, the LCC still had partial inversion which was considered as a type 3 complex. The ligamentum teres, transverse ligament, and pulvinar were not thickened and returned to normal, and the left hip joint achieved complete relocation. e shows the pelvic X-ray film of the patient 22 months after closed reduction, the left osseous acetabular index is 33.3°, indicating that there is still residual acetabular dysplasia; the shape of the left femoral head is intact, and no obvious abnormal density is found

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