Developmental dysplasia of the hip: diagnosis and management to 18 months.
Developmental dysplasia of the hip represents a spectrum of disease ranging from transient neonatal instability to established dislocation. It is accepted that female sex, breech presentation, and family history are risk factors for the disease. Early diagnosis by clinical examination or ultrasound imaging is emphasized, with splint treatment ideally commencing by 6 weeks of age. Treatment using the Pavlik harness is successful in up to 90% of patients. Ultrasound imaging is the gold standard for monitoring a patient during harness wear. Failed splintage or late presentation usually necessitates surgical intervention depending on the patient's age and the severity of the hip dysplasia and displacement.
Professor and Consultant Orthopaedic Surgeon, Department of Child Health, University Hospital Southampton, Southampton, United Kingdom.
Nicholas M P
NM
Clarke
D000367:Age Factors; D006617:Hip Dislocation / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy*; D006618:Hip Dislocation, Congenital / Q000150:complications / Q000175:diagnosis* / Q000628:therapy*; D006621:Hip Joint / Q000254:growth & development / Q000473:pathology / Q000503:physiopathology; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007593:Joint Instability / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy*; D015997:Neonatal Screening