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Developmental Dysplasia of the Hip

Terms in this set (15)

Males/females are more at risk for hip dysplasia.
females
What birth presentation causes a higher risk for hip dysplasia?
breech
Which hip is more commonly involved in hip dysplasia?
L
After 3 months, what is the most reliable sign of hip dysplasia?
abduction
*will also notice asymmetric thigh folds
*relative shortness of femur with hips/knees flexed
*discrepancy of leg length
What tests can you use before 3 months of age when testing for hip dysplasia?
Barlow and Ortolani
If an infant has an abnormal Barlow or Ortolani exam, what should be done?
US if less than 3 months
radiographs if >3 months
How do you treat DDH?
orthopedist referral, Pavlik harness, may need surgery
What will happen if DDH goes unnoticed?
limp
pain
degenerative disease of hip in earlier adulthood
What is DDH?
abnormality in shape and/or stability of femoral head and acetabulum
Examination of the hip should be performed at every assessment of a child until they are ______ old.
9 months or walking independently
What are risk factors for DDH?
breech
females
FH
first-born
What is the Barlow maneuver?
gentle adduction without downward pressure to feel for dislocatability, resulting in click or clunk
What is the Ortolani maneuver?
abduction and elevation to feel for reducibility, resulting in the click or clunk
How do you diagnose DDH?
clinical with confirmation from imaging (ultrasound if less than 4 months and radiograph if more than 4 months)
How do you manage DDH?
<6 months - Pavlik harness
6mo-2yr - closed reduction in OR

*monitor with routine radiographs until skeletally mature
*hip dislocation assessment using Barlow & Ortolani maneuvers
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