Habitual dislocation hips spontaneously begin to dislocate without trauma. Children may present clicking, limping or feeling of giving away. Usually, pain is not present. Acute dislocation Dislocation following a minor trauma. Patients present with moderate pain, increased limp and reduced activity.
Hips are easily reducible under anesthesia, but recurrence is common.
Subluxation phase Concentric reduction becomes rarer and dysplasia develops. The patients can walk with a limp up into the early twenties even in the fixed dislocated hip phase. Pain is not a major complaint. Down's Syndrome is one of the most common causes of handicap. It occurs in 1.7 of every 1000 live births.