Dysplasia may also produce morphologic abnormality. As noted by Salter, the limbus is enlarged in dysplasia.11 By adult life repetitive stretching of this structure may result in elongation and/or hypertrophic impingement. (Figure 6.5.) In the author's experience one such patient with Crowe I dysplasia presented with recurrent buckling, falling, and pain. Following arthroscopic debridement of the ligament these symptoms were alleviated. Six years later the identical symptoms in the opposite hip were also eliminated, again by arthroscopic intervention.
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