Developmental Dysplasia of the Hip Flashcards
(5 cards)
1
Q
What are risk factors for DDH?
A
Female Breech presentation FHx Firstborn child Oligohydramnios Birth weight > 5 kg Congenital calcaneovalgus foot deformity
2
Q
What screening tests for DDH? When?
A
Barlow test: attempt to dislocate an articulated femoral head posteriorly
Ortolani test: Attempt to relocate the femoral head into the acetabulum on abduction
Routine examination of the newborn and repeat at 8 weeks routine surveillance
3
Q
What is DDH?
A
Spectrum of disorders ranging from dysplasia to sublimation to frank dislocation of the hip
4
Q
How is diagnosis of DDH confirmed?
A
USS
5
Q
How is DDH managed?
A
Most unstable hips will spontaneously stabilise by 3-6 weeks
Pavlik harness (dynamic flexion-abduction orthosis - keeps hip flexed and abducted) in children younger than 4-5 months
Older children may require surgery - get orthopaedic input
