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. 2016 Dec 20;45(1):272–281. doi: 10.1177/0300060516675110

Table 1.

Definition of different clinical classifications that were used in this study to determine the outcome of the adductor tenotomy, closed reduction, and dynamic long leg casting method in infants with developmental dysplasia of the hip diagnosed between the ages of 12 and 18 months.

Classification Definition Grade and criteria
Tonnis classification Radiological grades of dislocation Type 1: Femoral capital epiphysis medial to Perkin’s line and below Hilgenreiner’s line
Type 2: Epiphysis below Hilgenreiner’s line but lateral to Perkin’s line
Type 3: Epiphysis lateral to Perkin’s line at the level of the acetabular margin
Type 4: Epiphysis lateral to Perkin’s line and above the acetabular rim
McKay’s criteria Function of hip Excellent: Painless, stable hip; no limp; more than 15° of internal rotation
Good: Painless, stable hip; slight limp or decreased motion; negative Trendelenburg’s sign
Fair: Minimum pain; moderate stiffness; positive Trendelenburg’s sign
Poor: Significant pain
Severin’s classification Evaluation of radiographic results Type I: Normal hips
Type II: Concentric reduction of the joint with deformity of the femoral neck, head or acetabulum
Type III: Dysplastic hips without subluxation
Type IV: Subluxation
Type V: The head articulating with a secondary acetabulum in the upper part of the original acetabulum
Type VI: Redislocation
Salter’s criteria Presentation of avascular necrosis Yes or No