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Dislocation or Subluxation of the Hip REGULAR SEQUELS OF IMMOBILIZATION OF THE KNEE IN EXTENSION IN YOUNG RABBITS
J. -E. MICHELSSON; A. LANGENSKIÖLD
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University of Helsinki, Topeliuksenkatu 5, Helsinki 26, Finland
1972 by The Journal of Bone and Joint Surgery, Incorporated
The Journal of Bone & Joint Surgery.  1972; 54:1177-1186 
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Abstract

In eighty-five growing rabbits one or both hind limbs were temporarily immobilized with the knee in extension but with the hip free and movable. In almost all of the younger rabbits a subluxation, dislocation, or other skeletal deformity (dysplasia) of the hip joint developed. The dysplastic changes observed were typical of those seen in congenital dislocation of the hip in man.

The development of permanent dislocation or dysplasia of the hip in these experiments was dependent on the duration of the immobilization of the knee in extension. If the hamstring muscles were cut either distally or proximally before immobilization of the knee neither dislocation nor obvious dysplasia of the hip developed.

The prolonged tension of the hamstring muscles provoked by keeping the knee joint in extension is assumed to have been the main factor causing the dislocation and dysplasia of the hip joint in these experiments.

The special phenomenon of coxa vara appearing after immobilization of the knee will be described in detail in a separate article.

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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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