International Orthopaedics

, Volume 1, Issue 3, pp 231–236 | Cite as

Biomechanical and hormonal factors in the etiology of congenital dislocation of the hip joint

  • Takao Yamamuro
  • Hiromichi Hama
  • Toshio Takeda
  • Jitsuhiko Shikata
  • Hiroyuki Sanada

Summary

Perinatal dislocation of the hip — C. D. H. — is influenced by mechanical and hormonal factors. The authors' experiments on rats confirm that persistent knee extension, ovariectomy and administration of progesterone increased the rate of dislocation, whereas division of either iliopsoas or the hamstring muscles or administration of oestrogen had a protective effect. The hormonal changes greatly influenced the collagen and elastin content of the joint capsule.

Key words

Hip Congenital dislocation of the hip 

Résumé

La luxation congénitale de la hanche (C. D. H.) survient sous l'influence de facteurs mécaniques et hormonaux. L'expérimentation pratiquée par les auteurs sur le rat confirme que l'extension prolongée du genou, l'ovariectomie et l'administration de progestérone augmentent la fréquence des luxations tandis que la section de l'iliopsoas ou des ischiojambiers ainsi que l'administration d'oestrogènes ont un effet protecteur. Les modifications hormonales ont⋅une influence considérable sur la proportion de fibres collagènes et élastiques de la capsule articulaire.

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References

  1. Aarskog, D., Støa, K. F., Thorsen, T.: Urinary estrogen excretion in newborn infants with congenital dysplasia of the hip joint. Acta Paediatr. Scand. 55, 394 (1966)Google Scholar
  2. Andrén, L., Borglin, N. E.: Disturbed urinary excretion pattern of estrogens in newborns with congenital dislocation of the hip. I. The excretion of estrogen during the first few days of life. II. The excretion of exogenous estradol 17 β. Acta Endocrinol. 37, 423 and 427 (1961)Google Scholar
  3. Hama, H., Yamamuro, T., Takeda, T.: Experimental studies on connective tissue of the capsular ligament (in Japanese). J. Jpn. Orthop. Ass. 48, 688 (1974)Google Scholar
  4. McKibbin, B.: Anatomical factors in the stability of the hip joint in the newborn. J. Bone Joint Surg. 52-B, 148 (1970)Google Scholar
  5. Michelsson, J. E., Langenskiöld, A.: Dislocation or subluxation of the hip, regular sequels of immobilization of the knee in extension in young rabbits. J. Bone Joint Surg. 54-A, 1177 (1972)Google Scholar
  6. O'Malley, A. G.: Congenital dislocation of the hip. J. Bone Joint Surg. 47-B, 188 (1965)Google Scholar
  7. Salter, R. B.: Role of innominate osteotomy in the treatment of congenital dislocation and subluxation of the hip in the older child. J. Bone Joint Surg. 48-A, 1413 (1966)Google Scholar
  8. Somerville, E. W.: Some mechanical factors in the causation of congenital dislocation of the hip. Dev. Med. Child Neurol. 4, 147 (1962)Google Scholar
  9. Thieme, W. T., Wynne-Davies, R.: Clinical examination and urinary estrogen assays in newborn children with congenital dislocation of the hip. J. Bone Joint Surg. 50-B, 546 (1968)Google Scholar
  10. Tompkins, P.: An inquiry into the causes of breech presentation. Am. J. Obstet. Gynecol. 51, 595 (1946)Google Scholar
  11. Vartan, C. K.: The behavior of the fetus in the utero with special reference to the incidence of breech presentation at term. Br. J. Obstet. Gynaecol. 52, 417 (1945)Google Scholar
  12. Wilkinson, J. A.: Prime factors in the etiology of congenital dislocation of the hip. J. Bone Joint Surg. 45-B, 268 (1963)Google Scholar
  13. Wilkinson, J. A.: A post-natal survey for congenital displacement of the hip. J. Bone Joint Surg. 54-B, 40 (1972)Google Scholar
  14. Yamamuro, T.: Congenital dislocation of the hip in newborns. J. Jap. Orthop. Ass. 46, 695 (1972)Google Scholar
  15. Yamamuro, T., Hama, H., Shikata, J., Sanada, H., Takeda, T.: Connective tissue of the joint capsule and sex hormones (in Japanese). Conn. Tiss. 6, 151 (1974)Google Scholar
  16. Yamamuro, T., Hama, H., Shikata, J., Sanada, H., Takeda, T.: Influences of sex hormones on experimental dislocation of the hip. Cent. Jpn. J. Orthop. Traumat. 18, 738 (1975)Google Scholar

Copyright information

© Springer-Verlag 1977

Authors and Affiliations

  • Takao Yamamuro
    • 1
  • Hiromichi Hama
    • 2
  • Toshio Takeda
    • 3
  • Jitsuhiko Shikata
    • 1
  • Hiroyuki Sanada
    • 1
  1. 1.Department of Orthopaedic SurgeryKyoto University Medical SchoolKyotoJapan
  2. 2.Department of Orthopaedic SurgeryKinki University School of MedicineJapan
  3. 3.Division of PathologyKyoto University Chest Disease Research InstituteJapan

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