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Developmental Dysplasia of the Hip, Pediatric

Katherine A. Butler, MD and John E. Tis, MD Reviewed 10/2018
 


BASICS

DESCRIPTION

Developmental dysplasia of the hip (DDH) is a range of hip pathology including dysplasia (shallow acetabulum), subluxation (partial femoral head–acetabulum contact), and dislocation ...

DIAGNOSIS

HISTORY

Gestational age, gender, birth weight, order, delivery method/position (breech), and family history (DDH or associated conditions) 

PHYSICAL EXAM

  • Ensure that the child is relaxed and ca...

TREATMENT

GENERAL MEASURES

Treatment principle: Acetabular remodeling potential rarely exists after 4 years of age. When remodeling potential exists, treatment goals are to redirect the femoral head in...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

See “Issues for Referral” section. 

PROGNOSIS

  • 95% successful resolution of an abnormal Ortolani exam when Pavlik harness treatment is initiated in...

ADDITIONAL READING

  • American Academy of Orthopaedic Surgeons. Detection and nonoperative management of pediatric development dysplasia of the hip in infants up to six months of age: evidence based clin...

CODES

ICD9

755.63 Other congenital deformity of hip (joint) 

ICD10

Q65.89 Other specified congenital deformities of hip 

SNOMED

52781008 congenital hip dysplasia (disorder) 

FAQ

  • Q: Is emergent or urgent orthopedic referral required if hip instability in the newborn is diagnosed?

  • A: No. Although referral should not be delayed for months, it can be obtained 2 to 3 weeks afte...

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