Developmental dysplasia of the hip Flashcards

1
Q

what is Developmental dysplasia of the hip? (RF. Sx)

A

Spectrum of conditions affecting proximal femur and acetabulum - from subluxation to frank dislocation
true DDH - femoral head has abnoral bomy disability-premature arthritis and disability

RF - female (5x), breech presentation, 1st born, multiple pregn, oligohydramnios, high BW

Signs and Sx
Barlow and ortalani done at birth -
barlow -dislocate out of him
ortlani-relocate the hip back -if hear a click its positive
asymetrical skin fold,
Ling length discrepency (lay baby on back and extend knees)

later present -limp, abnromal gait, delayed walk/crawl, toe walk

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2
Q

Ix and mx of developemtal dysplasia of the hip

A

Neonatal screen -barlow and oralanis –if suspicious or +ve -USS
if baby born breech OR Fhx (1st degree) -USS

after 6m/o -xray is better at examining

mx
1st line in newborns -pavliks harness -keeps hips and knees abducted for several weeks
monitor sucess with USS/Xray
should resolve by 3-6weeks

2nd line (older pt)-surgery if conservative measure fail, or harness not helping

complications -avascular necrosis of the femoral head. temporary femoral nerve pasly

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