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Wheeless' Textbook of Orthopaedics
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Hip disease in adults with Down syndrome


Hresko MT. McCarthy JC. Goldberg MJ. Journal of Bone & Joint Surgery - British Volume. [JC:hk7] 75(4):604-7, 1993 Jul. The life expectancy of patients with Down syndrome has increased significantly in recent years. Hip abnormalities occur in children with this syndrome but little is known about their natural history in later life. In 65 adults with Down syndrome we found hip abnormalities in 28%, and this was statistically correlated with walking ability. A subgroup of 18 patients was followed by serial examination; this showed that hip instability occurred in adulthood and became worse with time. In some patients, hip instability started after skeletal maturity.



Original Text by Clifford R. Wheeless, III, MD.