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