Paediatric Hip
A 3-week-old female infant is brought for routine newborn examination. She was born via breech presentation at 38 weeks. Family history reveals maternal hip dysplasia requiring surgery. Physical examination shows limited hip abduction on the left (40 degrees compared to 70 degrees on right), positive Barlow test with clunk felt, and asymmetric skin creases. The pediatrician orders an ultrasound which shows a Graf Type IIc hip (alpha angle 50 degrees, beta angle 70 degrees). The parents ask about the diagnosis, natural history, and treatment options. Regarding developmental dysplasia of the hip:
Mark each as TRUE or FALSE
DDH incidence is 1-2 per 1000 live births; risk factors include FEMALE gender (6:1), BREECH presenta...
Clinical examination: BARLOW TEST (adduct and posteriorly direct femoral head - tests if hip DISLOCA...
DDH affects males more than females; right hip is more common than left; breech is protective; famil...
GRAF ULTRASOUND CLASSIFICATION (alpha angle measures bony acetabular roof; beta angle measures carti...
Treatment algorithm: NEWBORN with unstable/dislocated hip = PAVLIK HARNESS (flexion 90-110 degrees, ...
Answer the questions to see explanations
Click T (True) or F (False) for each option