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Developmental Hip Dysplasia

more about Developmental Hip Dysplasia


Developmental dysplasia of the hip (DDH), Congenital hip dislocation, Subluxation of the hip



  • Any hip abnormality, originating during fetal development

  • Asymmetrical appearance, or asymmetrical tone of the lower extremities.
  • Limited hip abduction occurs on the affected side.  Both right and left lower extremities might be affected in DDH.  Therefore, both sides might show limitation of hip abduction.

  • Heredity
  • Unknown

  • Physical examination (Barlow test, Ortolani test) showing dislocatable or dislocated hip
  • Ultrasound examination of the hip joints
  • X-rays of the hip joints (AP and frog views)

  • Female sex
  • Breech presentation
  • Primiparous mother (i.e., first pregnancy)

  • Newborns are frequently treated with triple diapers to hold the hips in a physiologic position.
  • Older infants and children might be treated with a brace or cast, to hold the hips in a physiologic position.
  • Surgery in selected cases

  • Avascular necrosis (tissue and cell death) of the femoral head, due to impeded blood supply to the femoral head

  • The symptoms listed above, or asymmetrical creases of the posterior thighs, or uneven heights of the knees (when the baby is supine with both knees bent) need early physician evaluation.




more about Developmental Hip Dysplasia


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