Milestones

Question 1

What do the Barlow manoeuvre and Ortolani manoeuvre test for

Answer 1

Developmental dysplasia of the hip

Barlow = addicting the hip joint by moving legs inwards towards the midline and pushing down, thus posteriorly dislocating a hip which is dysplastic

Ortolani = abducting hip joint by pushing legs outwards and up - thus reducing hip dislocation (if present)

Question 2

Who is more likely to get developmental hip dysplasia

Answer 2

Females
Firstborns
Breech presentations

Question 3

What is developmental hip dysplasia (DDH)

Answer 3

Abnormality of the hip joint where the ball of the femur and acetabulum of the pelvis do not articulate properly during development, meaning that the joint can easily dislocate and will continue to develop abnormally

Question 4

Diagnosis of DDH

Answer 4

If clinically suspected then hip US

Question 5

Mx of DDH

Answer 5

Mild = self - limiting
More severe = Pavlik harness or even surgery

Question 6

What is the Moro reflex

Answer 6

When a baby is startled by a sound or movement

Question 7

Why is it concerning that a 13months has a preferred hand

Answer 7

Hand dominance normally develops by 2 years and children <18 months old should not have a hand preference
This may indicate spastic hemiplegia or cerebral palsy