Hip Disorders
A newborn girl is examined at her routine neonatal check. She was born by breech presentation, and her mother has a history of DDH. Examination reveals asymmetric thigh folds and limited hip abduction on the left. A "clunk" is felt when performing the Ortolani maneuver. Ultrasound is requested and shows an alpha angle of 50 degrees on the left hip. Regarding developmental dysplasia of the hip (DDH):
Mark each as TRUE or FALSE
DDH represents a spectrum from mild acetabular dysplasia to complete dislocation; risk factors inclu...
The Barlow test dislocates a reducible hip (provocation - adduction and posterior pressure), while t...
DDH has equal gender incidence; the right hip is more commonly affected; breech presentation is prot...
Ultrasound (Graf classification) is the gold standard for diagnosis in infants under 4-6 months: Typ...
Treatment depends on age and reducibility: Pavlik harness (0-6 months, reducible hips, 95% success r...
Answer the questions to see explanations
Click T (True) or F (False) for each option