• Dr. Domb!

    Thanks a lot for getting my hip right. Looking forward to a full recovery and a great season. Thanks again for everything.

    Corey WoottonChicago Bears and Detroit Lions
  • Thank you for all that you have done for me and the team. My hip feels so much better, and because of you I'm pain free.
    Sylvia Fowles WNBA Finals MVP, 2-time Olympic Gold Medalist
  • Thank you for working your magic! You're the best!
    Zakiya BywatersChicago Red Stars, National Women's Soccer League
  • Thanks for all the love and positive Energy that was put into my surgery. May the Lord bless you and your family.
    Atari BigbyGreen Bay Packers and San Diego Chargers
  • Dr. Domb, Thanks for fixing me up
    Rashied DavisChicago Bears
  • Huge thank you to Dr. Domb for always taking care of me and getting me back on the court in no time!
    Elena Delle DonneChicago Sky, MVP of the WNBA
  • Dr. Domb! Thanks for taking care of the hip! All the best to you and your staff
    Roosevelt ColvinChicago Bears' All-Decade Defense team
  • Thanks doc for fixing my hip!
    Ryan ChiaveriniWindy City Live Co-Host on ABC7
  • Dr. Domb!

    Thanks again for everything

  • Dr. Domb!

    Thanks again for everything

Dysplasia

Hip dysplasia is a congenital condition in which the acetabulum or socket is shallow. This creates under-coverage of the femoral head. The weight-bearing portion of the hip becomes overloaded as it is increasingly focused on a small area.

Dysplasia can lead to hip instability, labral damage and early-onset arthritis.

Patients with untreated dysplasia may be at an increased requirement of a hip replacement early in life.

Mild dysplasia can often be addressed arthroscopically by repairing a torn labrum and tightening the capsule around the joint.

Severe dysplasia can be treated with correction of the mechanical and bony deformity through a procedure called a peri-acetabular osteotomy (PAO). The American Hip Institute has created a team to severe dysplasia with combined arthroscopy, to repair torn labrum arthroscopically, and a PAO, to correct the bony mechanical deformity, in the same operation. This is aimed to treat both the bony deformity and the source of pain.

Dysplasia is a developmental condition and may be caused by:

  • Injury or insult in utero or during early childhood
  • Infection during in utero or during early childhood
  • Position in the uterus

Risk Factors for hip dyplasia include:

  • Females
  • First-born
  • Large birth weight
  • Breech position
  • Family history of developmental dysplasia of the hip

Symptoms of hip dysplasia

  • Constant, achy pain
  • Intermittent catching or locking
  • Groin pain
  • Buttock pain
  • Difficulty walking
  • Instability
  • Extreme flexibility

Physical Exam Findings

  • Limp
  • Difficulty standing on one leg
  • Limb length discrepancy
  • Pain with range of motion

Imaging Studies to diagnose the severity of dysplasia and intra-articular damage

  • X-rays: assess bony abnormality
  • MRI: assess cartilage damage and injury to the joint

Borderline Hip Dysplasia 2013