Paediatric Hip
A 6-week-old female infant is referred for assessment of hip instability detected during routine newborn examination. She was born in breech presentation. On examination, the left hip has a positive Ortolani test. Ultrasound shows a Graf Type III hip with a shallow acetabulum and subluxated femoral head. Regarding developmental dysplasia of the hip (DDH):
Mark each as TRUE or FALSE
DDH includes a spectrum from mild acetabular dysplasia to complete dislocation; risk factors include...
Clinical tests include Ortolani (reduces a dislocated hip - "clunk of entry"), Barlow (dislocates an...
DDH is more common in males; the right hip is more commonly affected; Ortolani test dislocates the h...
Ultrasound (Graf classification) is the gold standard for infants under 4-6 months; radiographs beco...
Treatment depends on age: Pavlik harness (0-6 months, success 90-95% for reducible hips), closed red...
Answer the questions to see explanations
Click T (True) or F (False) for each option