Pediatric Hip
A 6-week-old girl is referred from her pediatrician for a positive Ortolani test on newborn screening. She was a firstborn, breech presentation, and her mother has a history of DDH. On examination, the left hip is dislocated but can be reduced with gentle abduction. Ultrasound shows a Graf Type III hip with an alpha angle of 40 degrees. Regarding developmental dysplasia of the hip:
Mark each as TRUE or FALSE
Risk factors for DDH include: female sex (80% of cases), firstborn status, breech presentation (espe...
Clinical examination: Ortolani test (reduces a dislocated hip - positive "clunk" indicates relocatio...
All newborns require routine hip ultrasound screening; the Ortolani test dislocates a stable hip; ma...
Graf ultrasound classification: Type I (normal, alpha greater than 60 degrees), Type IIa (physiologi...
Treatment by age: 0-6 months - Pavlik harness (95% success for reducible hips, maintains flexion gre...
Answer the questions to see explanations
Click T (True) or F (False) for each option