Description: Segment 1 Mr Catterall introduces the subject of congenital dislocation of the hip with a brief history of its discovery. He goes on to review the work of Wynne-Davies which looks at the incidence of congenital dislocation and its associated factors. The difference between early and late diagnosis of congenital dislocation is summarised in a table and some of the causes are broached. Time start:00:00:00:00 Time end: 00:06:03:20 Length: 00:06:03:20 Segment 2 Catterrall discusses the risk of genetic inheritance of congenital dislocation and shows a table of statistics based on genetic inheritance. He then shows drawings depicting a normal hip and a dislocated hip and describes the differences between the two in depth. Time start: 00:06:03:20 Time end: 00:11:42:00 Length: 00:05:38:05 Segment 3 Catterrall focuses on diagnosis, particularly early diagnosis. He suggests that any child with a family history and certain physiological signs (listed on a table) should be x-rayed. We are shown a series of still photographs of children with dislocated hips - Catterrall describes each one in turn. An x-ray of a dislocated hip is shown and Catterrall describes what signs a clinician would look out for on this kind of x-ray. Time start: 00:11:42:00 Time end: 00:16:11:21 Length: 00:04:29:21 Segment 4 We see a short film of an 18-month-old infant with congenital dislocation of the hip, walking. Catterrall describes the abnormal features of its walk. He then goes on to discuss bilateral dislocation of the hip and shows still photographs and an x-ray of a young girl with this kind of dislocation. Catterrall begins to discuss the principles of treatment for congenital dislocation and shows a table listing these. He introduces traction as a treatment, saying it is the simplest method to use. Time start: 00:16:11:21 Time end: 00:20:07:15 Length: 00:03:55:19 Segment 6 Catterrall shows a series of x-rays showing cases before and after treatment. Catterrall describes what sort of traction each case had and talks in depth about the physiological changes made to the hip. He then goes on to discuss open reduction surgery and refers to a table listing indications for this procedure and factors prohibiting it as an option. Time start: 00:26:35:00 Time end: 00:30:03:00 Length: 00:03:28:00. Segment 7 Catterrall refers to a series of still photographs showing an open reduction procedure, he describes the procedure in depth. We see x-rays showing a unilateral dislocation before and after surgery and Catterrall points out the main changes that have occurred following surgery. Time start: 00:30:03:00 Time end: 00:35:30:00 Length: 00:05:27:00. Segment 8 Follow-up at the end of primary treatment is now discussed. Catterrall points out that this is important so that the hip doesn't re-dislocate. We see a series of x-rays following up on the progress of various cases after treatment. Catterrall describes each case in detail. Time start: 00:35:30:00 Time end: 00:40:37:14 Length: 00:05:07:14