Limited Hip Abduction: Causes & Reasons

Possible Causes for Limited Hip Abduction

Because bilateral dysplasia may be difficult to detect at birth, periodic testing for limited hip abduction during the first year of life is advised. [msdmanuals.com]

Limited hip abduction, especially if assymmetric (more difficult to detect if DDH is bilateral). Apparent limb shortening. [now.aapmr.org]

Abduction of the hip is often impaired due to adductor spasm. All infants are screened by physical examination. [msdmanuals.com]

Slipped Capital Femoral Epiphysis

[…] internal rotation and abduction of the hip. [quizlet.com]

In more advanced stages, findings may include pain during movement of the affected hip, with limited flexion, abduction, and medial rotation; knee pain without specific knee [msdmanuals.com]

H/P = thigh and knee pain; limp, limited internal rotation and abduction of the hip, hip flexion produces obligatory external hip rotation Hint: Obesity, limp, adolescent [quizlet.com]

Spondyloepimetaphyseal Dysplasia-Hypotrichosis Syndrome

Symptoms via clinical synopsis from OMIM: 57 Skin Nails Hair Hair: hypotrichosis Skeletal Pelvis: coxa vara flared iliac wings short femoral neck limited hip abduction Head [malacards.org]

hip abduction and mild genu varum. [rarediseases.info.nih.gov]

Skeletal features became clinically apparent during early childhood and predominantly involved limited abduction of the hips. [omim.org]

Legg-Calve-Perthes Disease

abduction of hip & limited internal rotation in both flexion & extension are seen; - antalgic gait (due to pain); - late phase: Trendelenburg gait; - Radiographic Evaluation [wheelessonline.com]

[…] that is worse with activity referred knee pain Physical exam small for age thigh and calf muscle atrophy shortening of the leg (asymmetry) hip stiffness and limited range [medbullets.com]

There is disuse atrophy of the proximal thigh and limitation of motion about the hip involving abduction and internal rotation. This period lasts from one to four years. [oandplibrary.org]

Osteoarthritis of the Hip

Often there is also discomfort and limited abduction in Flexion, Abduction and External Rotation (the FABER test). [asiamedicalspecialists.hk]

Sometimes there is a positive Drehmann's sign [4] - the hip runs into abduction and external rotation on flexion. [asiamedicalspecialists.hk]

Examination: Typically there is pain with Flexion, Adduction & Internal Rotation (the FADDIR test or anterior impingement test) of the hip. [asiamedicalspecialists.hk]

Hip Arthritis

Pain and sensitivity over greater trochanter Range of motion: Early signs of hip osteoarthritis is limited abduction and rotation. [physio-pedia.com]

[…] rotation in abduction and adduction of the hip. [physio-pedia.com]

The variables are positive when there’s pain or a limited range of motion in the tests. [16] The five variables are: Flexion Internal rotation Scour test: external and internal [physio-pedia.com]

Hip Sprain

Moving the leg out to the side known as abduction and rotating the hip outwards is often limited compared to the uninjured side. [sportsinjuryclinic.net]

Femoral Neck Stress Fracture

The patient reported pain in the right hip on flexing, abducting, and externally rotating hip. [sjosm.org]

Neurological evaluation revealed sensory, motor, and reflex testing to be within normal limits. Vibration testing did not aggravate her symptoms. [sjosm.org]

Coxa Vara

[…] right hip, pelvic obliquity, Trendelenburg-Duchenne gait, limitation of hip abduction, lower-extremity length discrepancy with 3.0 cm of shortening of right femur, and walking [ncbi.nlm.nih.gov]

She had a leg-length discrepancy of 2 cm (right - left), limited right hip abduction to 25°, and internal rotation to 5°, also had a positive Trendelenburg test. [miami.pure.elsevier.com]

The involved hip will often display limitation of abduction and internal rotation [ 1 ]. [ncbi.nlm.nih.gov]

Trisomy 9

hip abduction, rocker bottom feet, heart murmurs and also webbed neck, characteristic of this trisomy 9 syndrome. [ncbi.nlm.nih.gov]

hip abduction, rocker bottom feet, heart murmurs and a webbed neck.Trisomy 9p is one of the most frequent autosomal anomalies compatible with long survival rate. [en.wikipedia.org]

[…] observed were small face, wide fontanel, prominent occiput, micrognathia, low set ears, upslanting palpebral fissures, high arched palate, short sternum, overlapping fingers, limited [ncbi.nlm.nih.gov]

Collagenopathy Type 2 - Collagenopathy Type 11

The coxa vara is typically associated with limited hip abduction, hip flexion contractures, and external rotation contractures. [gimjournal.org]

In type II collagen disorders with disproportionate short stature, coxa vara and genu valgum are frequently present Hip involvement in type II collagen disorders is very common [gimjournal.org]

Coxoauricular Syndrome

QID: 2857 Limited hip adduction when flexed Limited hip adduction when extended Limited hip abduction when flexed Limited hip abduction when extended L 2 C Select Answer to [orthobullets.com]

Developmental Dysplasia of the Hip Type 1

Unilateral posterior hip dislocation or femoral shortening represents a positive Galeazzi sign. 16 Joint laxity and limited hip abduction have also been associated with DDH [mdedge.com]

In older children: Complaints of limping, waddling (bilateral DDH), lumbar lordosis, limitation of hip abduction, toewalking, wide perineum, etc… 11. [slideshare.net]

Physical exam (> 3 months to 1 year) limitations in hip abduction most sensitive test once contractures have begun to occur occurs as laxity resolves and stiffness begins [orthobullets.com]

Hip Subluxation

Using limited hip abduction of < or =30 degrees and subluxation of > or =25% migration percentage as indications, patients had open adductor and iliopsoas lengthenings with [ncbi.nlm.nih.gov]

The left hip had a 10° limitation of abduction. A radiograph revealed a left hip dysplasia ( Figure 4 A). [ncbi.nlm.nih.gov]

[…] using clinical examination detecting limited range of hip abduction of or= 33% migration as indications. [ncbi.nlm.nih.gov]

Autosomal Recessive Spondyloepiphyseal Dysplasia Tarda Type Leroy-Spranger

Chromosome 6q11-q14 Deletion Syndrome

Hip Abduction, Loose Joints, And Joint Myotonia Stiff Joints Or Joint Laxity Spine Kyphosis And Scoliosis Skin Appendages Fingernails On Dorsal And Volar Aspects Of Fifth [neo-genetics.com]

Findings Consist Mainly Of Single Palmar Creases Syndactyly Of The Fingers And Toes And Clubfoot Dermatoglyphic Findings Consist Mainly Of Abnormal Palmar Creases Extremities Limited [neo-genetics.com]

Congenital Coxa Valga

Patients with coxa vara often show: Limb length discrepancy Prominent greater trochanter Limitation of abduction and internal rotation of the hip. [physio-pedia.com]

Coxitis Fugax

Joint Complaints: limited abduction of the hip joint, leg length discrepancy, limping, pain, early osteoarthritis Prevention: Hip ultrasound screening and orthopedic examination [chiari-ortho.at]

[…] and passive movements may be limited because of pain, especially abduction and internal rotation. [en.wikipedia.org]

On clinical examination she had a limp with moderate pain and some limitation of abduction and internal rotation. [doi.org]

Galloway-Mowat Syndrome Type 7

abduction at hip, limited extension of fingers), and suspected rocker bottom feet. [jcnonweb.com]

[…] ears [Figure 1], absent red reflex, short neck, clinodactyly with clenched hands [Figure 2], single crease, poor spontaneous movements, undescended testes, arthrogryposis (limited [jcnonweb.com]

Multiple Epiphyseal Dysplasia - Severe Proximal Femoral Dysplasia

[…] are limited: The early phase has limited abduction of the hip and limited internal rotation in both flexion and extension. [patient.info]

Four patients exhibited duckling gait, positive Trendelenburg’s sign, and limited abduction on the bilateral hips. [healio.com]

Other findings might include limited internal rotation, decreased hip abduction, and mild hip flexion contractures. Occasionally, the thigh is atrophic. [hawaii.edu]

Mucopolysaccharidosis Type 1

Some symptoms (hernia, macrocephaly, respiratory infections, and limited hip abduction) become apparent early in infancy but the complete clinical picture develops during [icd10data.com]

(initially present in the fingers resulting in the characteristic "claw-hand"); limited hip abduction and genu valgum. [medicalhomeportal.org]

Assess for joint stiffness (elbows with lack of supination/pronation range of motion, shoulders with inability to fully extend arms over the head, hand limitations, and contractures [medicalhomeportal.org]

Disproportionate Short Stature - Ptosis - Valvular Heart Lesions

Some symptoms (hernia, macrocephaly, respiratory infections, and limited hip abduction) become apparent early in infancy but the complete clinical picture develops during [icd9data.com]

Coxa Valga

Reduced angle of inclination or coxa vara causes mild shortening of the lower limb and limits passive abduction of the hip. [medizzy.com]

The involved hip will often display limitation of abduction and internal rotation [1]. [casesjournal.biomedcentral.com]

Patients with coxa vara often show: Limb length discrepancy Prominent greater trochanter Limitation of abduction and internal rotation of the hip. [physio-pedia.com]

Mosaic Trisomy 1

Skeletal neck - webbed chest - short sternum, widely spaced nipples hips - small pelvis, congenital dislocation of the hips, limited hip abduction extremities - phocomelia [embryology.med.unsw.edu.au]

Congenital Genu Varum

hip abduction and mild genu varum. [ncbi.nlm.nih.gov]

[…] primary bone dysplasia disorder with characteristics of congenital hypotrichosis associated with rhizomelic short stature (more pronounced in upper limbs than lower limbs), limited [ncbi.nlm.nih.gov]

Hip Dislocation

A three-year-old with a left hip dislocation. Note the limited abduction. Figure 4. A three-year-old with a left hip dislocation. Note the limited abduction. [aafp.org]

Hip joints with associated fractures and/or instability are placed in a hip abduction brace postoperatively, which keeps the hip in abduction and slight external rotation [emedicine.medscape.com]

An infant with hip dislocation will develop limited hip abduction on the affected side by three months of age ( Figure 4 ). [aafp.org]

Cystitis

The involved hip will often display limitation of abduction and internal rotation [1]. [casesjournal.biomedcentral.com]

A 6 years 4 months old boy progressive bilateral coax vara were transferred with abduction limitation of the hip. [synapse.koreamed.org]

hip abduction and mild genu varum. [ncbi.nlm.nih.gov]

Femoral Neuropathy

Such complications can be prevented by minimising the procedural time, avoiding injury to the vessels and maintaining optimal posture of patient's thigh by limiting abduction [ncbi.nlm.nih.gov]

hip. [ncbi.nlm.nih.gov]

[…] and external rotation of hip. [ncbi.nlm.nih.gov]

Osteochondritis Dissecans of Shoulders, Elbows, and Knees

Limited hip abduction, internal rotation, and leg-length discrepancies are commonly found on physical examination. [aafp.org]

[…] incidence in patients with low birth weight, abnormal birth presentation, family history, higher birth order, and lower socioeconomic status. 5, 6 Patients present with hip [aafp.org]

Mucopolysaccharidosis

Some symptoms (hernia, macrocephaly, respiratory infections, and limited hip abduction) become apparent early in infancy but the complete clinical picture develops during [icd10data.com]

(initially present in the fingers resulting in the characteristic "claw-hand"); limited hip abduction and genu valgum. [medicalhomeportal.org]