Seen in B/L congenital hip dislocation is/are -a) Short stratureb) Wandering acetabulumc) Waddling gaitd) Lumbar lordosis
**Core Concept**
Bilateral congenital hip dislocation, also known as bilateral developmental dysplasia of the hip (DDH), is a condition where the hip joint is not properly formed or has formed abnormally. This condition can lead to various musculoskeletal deformities and functional impairments.
**Why the Correct Answer is Right**
Waddling gait is a characteristic feature of bilateral congenital hip dislocation. This gait abnormality occurs due to the altered biomechanics of the hip joint, leading to an asymmetrical movement pattern. In bilateral DDH, the affected individuals often exhibit a waddling gait, which is a result of the hip joint's inability to properly support the body's weight and facilitate normal movement. The altered movement pattern is also accompanied by a shortening of the affected limb, which can further contribute to the waddling gait.
**Why Each Wrong Option is Incorrect**
**Option A:** Short stature is not a direct consequence of bilateral congenital hip dislocation. While individuals with DDH may exhibit growth retardation, short stature is not a characteristic feature of this condition.
**Option B:** Wandering acetabulum is not a recognized feature of bilateral congenital hip dislocation. The term "wandering acetabulum" is not a valid medical term in the context of hip dislocation.
**Option C:** Lumbar lordosis is not a characteristic feature of bilateral congenital hip dislocation. While individuals with DDH may exhibit various musculoskeletal deformities, lumbar lordosis is not a typical association.
**Clinical Pearl / High-Yield Fact**
In cases of bilateral congenital hip dislocation, it's essential to identify the condition early in life to prevent long-term musculoskeletal deformities and functional impairments. A thorough physical examination, including assessment of gait and hip mobility, is crucial for early detection and management of DDH.
**Correct Answer:** C. Waddling gait