Developmental dysplasia of the hip in infants and children

What you need to knowDevelopmental dysplasia of the hip (DDH) is a spectrum of conditions, ranging from a shallow acetabulum with or without instability to a completely dysplastic, unstable, or dislocated hipDiagnostic accuracy of clinical examination in the newborn period and at the 6-8 week check is lowSigns suggestive of DDH vary according to age, and use of ultrasound increases detectionLate diagnoses increase the need for operative intervention and have long term implications for patients and their familiesWhether to screen infants selectively or universally with ultrasound remains controversial, and the body of evidence to support universal ultrasound screening is growingA 14 month old boy has started to walk over the previous six weeks. His parents are concerned that he is in discomfort and thus tends to walk with a limp. He was born by spontaneous vertex delivery and routine clinical reviews by a midwife on day two of life and…
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