Child with abnormal gait or posture

Question 1

What is DDH?

Answer 1

dislocation of hip as hip joint not properly formed
ball tends to sit loosely in socket and so easily dislocates
shallow acetabulum meaning head of femur can’t fit firmly into socket

Question 2

Presentation of DDH

Answer 2

usually with a limp or abnormal gait - toe walking, waddling gait
asymmetry of skin fold around hip
limited abduction of hip - less mobility or flexibility on one side

Question 3

Manoeuvres for DDH

Answer 3

Barlow manoeuvre: checking to see if hip can be dislocated posteriorly out of acetabulum
ortolani manoeuvre: checking yo see if hip can be relocated into acetabulum on abduction