Hip Disorders
A newborn girl is noted to have asymmetric thigh creases and limited abduction of the left hip during the routine newborn examination. She was born in breech presentation at 38 weeks. There is a family history of DDH in her mother who required treatment as an infant. The paediatrician performs clinical examination and requests orthopaedic input. Regarding developmental dysplasia of the hip (DDH):
Mark each as TRUE or FALSE
DDH encompasses a spectrum from dysplasia to subluxation to dislocation; the incidence is approximat...
Clinical examination includes Ortolani test (reduction of dislocated hip with abduction - the "clunk...
DDH is more common in males; right hip is more commonly affected; Barlow test reduces a dislocated h...
Ultrasound is the imaging modality of choice before 4-6 months (before femoral head ossification); G...
Treatment is age-dependent: Pavlik harness (0-6 months) maintains flexion and abduction allowing con...
Answer the questions to see explanations
Click T (True) or F (False) for each option