This is a 25 year old female dancer whose right hip pain had caused her to quit dancing and had pain with walking when she was referred to The Denver Clinic. After evaluation by her local joint replacement specialist, she was referred to Dr. Jaren Riley for evaluation. She had right hip dysplasia which was present since birth, making her acetabulum shallow and misshapen. She also had a physeal (growth plate) injury to her femoral head, resulting in severe deformity, impingement, and pain. X-rays and MRI showed a large paralabral cyst, labral tear, and dysplasia of the femoral head and acetabulum, but minimal cartlagenous disease. 

Pre-operative X-ray AP	Pre-operative X-ray from the side

Dr. Riley felt that a surgical hip dislocation would be the best approach to address the femoral head deformity. In addition he would re-align the femur by doing a reorientation osteotomy or an osteochondroplasty. At the same time he would repair the torn labrum and excise a cyst that had developed.

Post-operative X-ray lateral

Dr. Riley performed a periacetabular osteotomy to correct the acetabular  dysplasia 2 months later.

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