September 8, 2017 "Hip Surgery Consult #2"

Dr. Cuomo compared Rayden's new x-rays to previous ones. She stated his hip dysplasia is just a tiny bit worse to the naked eye. The radiologists' report stated his right femoral head remains 25% uncovered but the left femoral head is now approximately 75% uncovered. (It was only 50% in May) The right femoral head points toward the triradiate cartilage but the left does not.

I realize these are not the best photos, but they are all I have. 

She stated that over the years they have found that even though they repaired the hips, in most patients with nerve damage the hips continued to come out of socket again. They realized that the hips were unstable because of a muscle imbalance which is unfixable because they can't fix the nerves, therefore they stopped doing the hip surgeries.
She observed Rayden's ability to walk "without" his cables and AFO's. His hips are nice and stable. She doesn't think his problem is instability. She believes his problem is the hip dysplasia and how it would affect him in the future. She believes he is probably going to be symptomatic for a very long time but if we wait until he is older it is a much bigger surgery. She says that any patient without SB she would take directly into the OR but with him, it's real controversial. 'Do we worry about it enough to think he needs surgery.' She is interested in what her partners would say. She is going to talk with her colleagues and revisit his case in six months. Tentatively having surgery this summer. His right foot is turning inward pretty badly as well. She says we can correct both of these issues at the same time.