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Paediatrics
intermediate
X-Type

Developmental Hip Dysplasia Treatment

Hip Conditions

A 6-week-old girl is referred after a positive Ortolani test on newborn screening. She has risk factors including breech presentation and positive family history. Ultrasound shows Graf Type IIc with an alpha angle of 50 degrees. The femoral head is dislocatable but reducible. Regarding developmental dysplasia of the hip (DDH):

Mark each as TRUE or FALSE

A

DDH represents a spectrum from acetabular dysplasia to complete dislocation; risk factors include fe...

B

Graf ultrasound classification: Type I (normal, alpha greater than 60 degrees), Type IIa (physiologi...

C

DDH is more common in males; the Ortolani test dislocates the hip; alpha angle greater than 60 degre...

D

Pavlik harness is first-line treatment for infants 0-6 months with reducible hips; it maintains hips...

E

If Pavlik fails or for late-presenting DDH (greater than 6 months), closed reduction under anesthesi...

Answer the questions to see explanations

Click T (True) or F (False) for each option