Tip 42: developmental dysplasia of the hip (DDH)

If clinical examination suggests congenital dislocation of the hip, then referral should be made immediately to an orthopaedic specialist and they should be seen within 2 weeks.

Regardless of clinical examination findings, the following should be referred for hip USS within 6 weeks:

– family history: 1st degree relative with hip problem in early life needing treatment with harness or operation.

– breech presentation: at birth, or at any time >36/40, or in co-twin/triplet etc.

External link: UK National Screening Committee Newborn and Infant Physical Examination. Change to Guidance on Ultrasound Examination of the Hips in Screening for Developmental Dysplasia of the Hips (DDH). 2010.

First published: 07/02/14

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