Congenital Hip Dislocation with a Genu Recurvatum in Togo: A Case Report

Foli Yvon Agbeko^1,2*, Mawouto Fiawoo^1,3, Rollin Arnaud Djomaleu³, Magnoulelem NZonou⁴, Sollim Talboussouma⁵, Manani Hemou², Homba Daké Batalia³, Rachel Bayahou Kérékou², Mazama Pakoudjare², Kokouvi Evenyo Abalo³, Bayaki Saka⁶, Deladem Koffi Azoumah⁶, Edem Koffi Djadou^1,3, Kokou Nadiedjoa Douti^1,2, Komlatsè Gamedzi Akakpo-Numado⁷, Adama Dodji Gbadoe^1,4, Yawo Dzayissé Atakouma^1,3
1Department of Pediatrics, Faculty of Health Sciences, University of Lomé, Togo
²CHU Campus, Department of Pediatrics, University of Lomé, Togo
³CHU Sylvanus Olympio, Department of Pediatrics, University of Lomé, Togo
⁴Hôpital de Bè, Department of Pediatrics, University of Lomé, Togo
⁵CHU Kara, Department of Pediatrics, University of Lomé, Togo
⁶CHU Sylvanus Olympio, Department of Dermatology, University of Lomé, Togo
⁷CHU Campus, Department of Pediatrics Surgery, University of Lomé, Togo

Corresponding Author: Foli Yvon AGBEKO ^{ORCID iD}
Address: Department of Pediatrics, Faculty of Health Sciences, University of Lomé, 03 BOX 30 434, Lomé, Togo.
Received date: 22 January 2021; Accepted date: 02 March 2021; Published date: 12 March 2021

Citation: Agbeko FY, Fiawoo M, Djomaleu RA, NZonou M, Talboussouma S, Hemou M, Batalia HD, Kérékou RB, Pakoudjare M, Abalo KE, Saka B, Azoumah DK, Djadou EK, Douti KN, Akakpo-Numado KG, Gbadoe AD, Atakouma YD. Congenital Hip Dislocation with a Genu Recurvatum in Togo: A Case Report. Asp Biomed Clin Case Rep. 2021 Mar 12;4(1):72-76.

Copyright © 2021 Agbeko FY, Fiawoo M, Djomaleu RA, NZonou M, Talboussouma S, Hemou M, Batalia HD, Kérékou RB, Pakoudjare M, Abalo KE, Saka B, Azoumah DK, Djadou EK, Douti KN, Akakpo-Numado KG, Gbadoe AD, Atakouma YD. This is an open-access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium provided the original work is properly cited.

Keywords: Congenital Hip Dislocation, Genu Recurvatum, Newborns, Togo, Case Report

Abbreviations: CHD: Congenital Hip Dislocation

Abstract

Introduction: CHD is a condition, which is frequent in pediatrics in the Caucasian population, remains rare in the Black population, and exceptional in sub-Saharan Africa.
The Patient: We report this first Togolese case of bilateral congenital dislocation of the hip associated with genu recurvatum observed in a newborn received on the second day of life.
The Primary Diagnoses, Interventions, and Outcomes: The pediatric examination had noted extension of lower limbs. The thighs were in adduction with a stiff bilateral genu recurvatum. The abduction of the thighs on the pelvis was considerably limited. The Barlow and Ortolani maneuvers showed a protrusion. There was also a camptodactyly of the thumbs and a cleft palate. The rest of the examination was normal. Ultrasound of the hip showed a bilateral congenital dislocation of the hip with an estimated acetabular fundus of 7 mm on both the right and left sides. Ultrasound and radiography of the knees were normal.
Conclusion: Clinical examination at birth is the key step in diagnosis of congenital hip dislocation. In situations where diagnosis is difficult, ultrasound is of capital importance. Treatment is in the majority of cases orthopedic.