The Orthobullets Podcast

Pediatrics | Developmental Dysplasia of the Hip (DDH)

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Oct 12, 2022
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ADVICE

Physical Exam for DDH

  • Use Barlow, Ortolani, and Galeazzi tests for DDH in infants under three months.
  • These tests assess hip subluxation/dislocation via specific maneuvers.
ADVICE

Radiographic Evaluation

  • Radiographs are primary for DDH after 4-6 months when the femoral head ossifies.
  • Use Hilgenreiner's, Perkin's, and Shenton's lines to assess dislocation.
ADVICE

Ultrasound for DDH

  • Use ultrasound for DDH from birth to 4 months, especially with positive exams or risk factors.
  • It's best after 4-6 weeks and helps monitor Pavlik harness treatment.
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