Skip to main content

Developmental Dysplasia of the Hip, Sports Medicine

Sunny Gupta, DO Reviewed 04/2019
 


BASICS

Developmental dysplasia of the hip (DDH) is the most common hip disorder in children. 

DESCRIPTION

  • Dysplasia refers to an acetabulum that is shallow or underdeveloped.

  • Subluxation refers to a femo...

DIAGNOSIS

HISTORY

  • Determine risk:

    • Breech delivery?

    • Female?

    • Firstborn?

    • Family history?

    • Race?

  • Is the baby moving both lower extremities symmetrically?

  • Any abnormal position of lower extremities noticed by paren...

TREATMENT

  • Subluxation at birth often resolves spontaneously and therefore may be observed for 3 wk.

  • Indication for treatment: Subluxation of hip persists beyond 3 wk, confirmed on physical exam or US. ...

ONGOING CARE

PROGNOSIS

If diagnosed early, prognosis is uniformly excellent. 

COMPLICATIONS

  • Missed early diagnosis can result in more complicated management and less favorable outcome.

  • Failed reduction an...

REFERENCES

1
Schwend RM, Shaw BA, Segal LS. Evaluation and treatment of developmental hip dysplasia in the newborn and infant. Pediatr Clin North Am.  2014;61(6):1095–1107.
2
Tomlinson J, O’Dowd D, ...

ADDITIONAL READING

  • Beaty JH. Congenital and developmental anomalies of hip and pelvis. In: Canale ST, ed. Campbell’s Operative Orthopaedics. 10th ed. St. Louis, MO: Mosby; 2003:1079–1117.

  • Guille JT, ...

CLINICAL PEARLS

  • DDH is the most common hip disorder in children.

  • Early diagnosis is key to management. This is accomplished with a thorough examination of hips of newborns and infants.

  • US is the most se...

Subscribe to Access Full Content

Sign Up for a 10-Day Free Trial

Sign up for a 10-day FREE Trial now and receive full access to all content.

×