Which finding would the nurse see when assessing a newborn for developmental dysplasia of the hip DDH )?

1. Aronsson DD, Goldberg MJ, Kling TF, et al. Developmental dysplasia of the hip. Pediatrics. 1994;94:201–8. [PubMed] [Google Scholar]

2. American Academy of Pediatrics, Committee on Quality Improvement, Subcommittee on Developmental Dysplasia of the Hip: Clinical practice guideline: Early detection of developmental dysplasia of the hip. Pediatrics. 2000;105:896–905. [PubMed] [Google Scholar]

3. LeBel ME, Gallien R. The surgical treatment of teratologic dislocation of the hip. J Pediatr Orthop B. 2005;14:331–6. [PubMed] [Google Scholar]

4. Rosendahl K, Markestad T, Lie RT. Ultrasound screening for developmental dysplasia of the hip in the neonate: the effect on treatment rate and prevalence of late cases. Pediatrics. 1994;94:47–52. [PubMed] [Google Scholar]

5. Bialik V, Bialik GM, Blazer S, et al. Developmental dysplasia of the hip: a new approach to incidence. Pediatrics. 1999;103:93–9. [PubMed] [Google Scholar]

6. Carter CO, Wilkinson JA. Genetic and environmental factors in the etiology of congenital dislocation of the hip. Clin Orthop Relat Res. 1964;33:119–28. [PubMed] [Google Scholar]

7. Weinstein SL. Developmental hip dysplasia and dislocation. In: Morrissy RT, Weinstein SL, editors. Lovell and Winter's pediatric orthopaedics. 5 th ed. Vol 2. Philadelphia: Lippincott Williams and Wilkins; 2001. pp. 905–56. [Google Scholar]

8. Wynne-Davies R. Acetabular dysplasia and familial joint laxity: Two etiological factors in congenital dislocation of the hip. A review of 589 patients and their families. J Bone Joint Surg Br. 1970;52:704–16. [PubMed] [Google Scholar]

9. Suzuki S, Yamamuro T. Correlation of fetal posture and congenital dislocation of the hip. Acta Orthop Scand. 1986;57:81–4. [PubMed] [Google Scholar]

10. Coleman SS. Congenital dysplasia of the hip in the Navajo infant. Clin Orthop. 1968;56:179–93. [PubMed] [Google Scholar]

11. Schwend RM, Pratt WB, Fultz J. Untreated acetabular dysplasia of the hip in the Navajo. A 34 year case series followup. Clin Orthop. 1999;364:108–16. [PubMed] [Google Scholar]

12. Malvitz TA, Weinstein SL. Closed reduction for congenital dysplasia of the hip. Functional and radiographic results after an average of thirty years. J Bone Joint Surg Am. 1994;76:1777–92. [PubMed] [Google Scholar]

13. Dezateux C, Rosendahl K. Developmental dysplasia of the hip. Lancet. 2007;369:1541–52. [PubMed] [Google Scholar]

14. Barlow T G. Early diagnosis and treatment of dislocation of the hip. J Bone Joint Surg Br. 1962;44:292–301. [Google Scholar]

15. Harding MG, Harcke HT, Bowen JR, et al. Management of dislocated hips with Pavlik harness treatment and ultrasound monitoring. J Pediatr Orthop. 1997;17:189–98. [PubMed] [Google Scholar]

16. Harcke HT, Grissom LE. Infant hip sonography: current concepts. Semin Ultrasound CT MRI. 1994;15:256–63. [PubMed] [Google Scholar]

17. Godward S, Dezateux C. Surgery for congenital dislocation of the hip in the UK as a measure of outcome screening. MRC Working Party on Congenital Dislocation of the Hip. Medical Research Council [Published correction appears in Lancet 1998;351:1664] Lancet. 1998;351:1149–52. [PubMed] [Google Scholar]

18. Hensinger RN. New York: Raven Press; 1986. Standards in Pediatric Orthopedics. [Google Scholar]

19. Laurenson RD. The acetabular index: a critical review. J Bone Joint Surg Br. 1959;41:702–10. [Google Scholar]

20. Greenhill BJ, Hugosson C, Jacobsson B, et al. Magnetic resonance imaging study of acetabular morphology in developmental dysplasia of the hip. J Pediatr Orthop. 1993;13:314–7. [PubMed] [Google Scholar]

21. Maxwell SL, Ruiz AL, Lappin KJ, et al. Clinical screening for developmental dysplasia of the hip in Northern Ireland. BMJ. 2002;324:1031–3. [PMC free article] [PubMed] [Google Scholar]

22. Umer M, Nawaz H. Developmental dysplasia of hip--where do we stand? J Pak Med Assoc. 2008;58:2–4. [PubMed] [Google Scholar]

23. Hedequist D, Kasser J, Emans J. Use of an abduction brace for developmental dysplasia of the hip after failure of Pavlik harness use. J Pediatr Orthop. 2003;23:175–7. [PubMed] [Google Scholar]

24. Tucci JJ, Kumar SJ, Guille JT, et al. Late acetabular dysplasia following early successful Pavlik harness treatment of congenital dislocation of the hip. J Pediatr Orthop. 1991;11:502–5. [PubMed] [Google Scholar]

25. Mubarak S, Garfin S, Vance R, et al. Pitfalls in the use of the Pavlik harness for treatment of congenital dysplasia, subluxation, and dislocation of the hip. J Bone Joint Surg Am. 1981;63:1239–48. [PubMed] [Google Scholar]

26. Rombouts JJ, Kaelin A. Inferior (obturator) dislocation of the hip in neonates: A complication of treatment by the Pavlik harness. J Bone Joint Surg Br. 1992;74:708–10. [PubMed] [Google Scholar]

27. Grill F, Bensahel H, Canadell J. The Pavlik harness in the treatment of congenital dislocating hip: Report on a multicenter study of the European Paediatric Orthopaedic Society. J Pediatr Orthop. 1988;8:1–8. [PubMed] [Google Scholar]

28. Nakamura J, Kamegaya M, Saisu T, et al. Treatment for developmental dysplasia of the hip using the Pavlik harness: long-term results. J Bone Joint Surg Br. 2007;89:230–5. [PubMed] [Google Scholar]

29. Carney BT, Clark D, Minter CL. Is the absence of the ossific nucleus prognostic for avascular necrosis after closed reduction of developmental dysplasia of the hip? J Surg Orthop Adv. 2004;3:24–9. [PubMed] [Google Scholar]

30. Segal LS, Boal DK, Borthwick L, et al. Avascular necrosis following treatment of DDH: The protective influence of the ossific nucleus. J Pediatr Orthop. 1999;19:177–84. [PubMed] [Google Scholar]

31. Roposch A, Stöhr KK, Dobson M. The effect of the femoral head ossific nucleus in the treatment of developmental dysplasia of the hip. A meta-analysis. J Bone Joint Surg Am. 2009;91:911–8. [PubMed] [Google Scholar]

32. Konigsberg DE, Karol LA, Colby S, et al. Results of medial open reduction of the hip in infants with developmental dislocation of the hip. J Pediatr Orthop. 2003;23:1–9. [PubMed] [Google Scholar]

33. Luhmann SJ, Bassett GS, Gordon JE. Reduction of a dislocation of the hip due to developmental dysplasia: Implications for the need for future surgery. J Bone Joint Surg Am. 2003;85:239–43. [PubMed] [Google Scholar]

34. Gage JR, Winter RB. Avascular necrosis of the capital femoral epiphysis as a complication of closed reduction of congenital dislocation of the hip: A critical review of twenty years' experience at Gillette Children's Hospital. J Bone Joint Surg Am. 1972;54:373–88. [PubMed] [Google Scholar]

35. DeRosa GP, Feller N. Treatment of congenital dislocation of the hip: Management before walking age. Clin Orthop Relat Res. 1987;225:77–85. [PubMed] [Google Scholar]

36. Tavares JO, Gottwald DH, Rochelle JR. Guided abduction traction in the treatment of congenital hip dislocation. J Pediatr Orthop. 1994;14:643–9. [PubMed] [Google Scholar]

37. Quinn RH, Renshaw TS, DeLuca PA. Preliminary traction in the treatment of developmental dislocation of the hip. J Pediatr Orthop. 1994;14:636–42. [PubMed] [Google Scholar]

38. Weinstein SL. Traction in developmental dislocation of the hip: Is its use justified? Clin Orthop Relat Res. 1997;338:79–85. [PubMed] [Google Scholar]

39. Weinstein S. Closed versus open reduction of congenital hip dislocation in patients under 2 years of age. Orthopedics. 1990;12:221–7. [PubMed] [Google Scholar]

40. Dhar S, Taylor JF, Jones WA. Early open reduction for congenital dislocation of the hip. J Bone Joint Surg Br. 1990;72:175–80. [PubMed] [Google Scholar]

41. Schoenecker PL, Strecker WB. Congenital dislocation of the hip in children: Comparison of the effects of femoral shortening and of skeletal traction in treatment. J Bone Joint Surg Am. 1984;66:21–7. [PubMed] [Google Scholar]

42. Sankar WN, Tang EY, Moseley CF. Predictors of the need for femoral shortening osteotomy during open treatment of developmental dislocation of the hip. J Pediatr Orthop. 2009;29:868–71. [PubMed] [Google Scholar]

43. Spence G, Hocking R, Wedge JH, et al. Effect of innominate and femoral varus derotation osteotomy on acetabular development in developmental dysplasia of the hip. J Bone Joint Surg Am. 2009;91:2622–36. [PubMed] [Google Scholar]

44. Wenger DR. Congenital hip dislocation: Techniques for primary open reduction including femoral shortening. Instr Course Lect. 1989;38:343–54. [PubMed] [Google Scholar]

45. Bohm P, Brzuske A. Salter innominate osteotomy for the treatment of developmental dysplasia of the hip in children. Results of seventy three consecutive osteotomies after twenty-six to thirty-five years of follow-up. J Bone Joint Surg. 2002;84A:178–86. [PubMed] [Google Scholar]

46. Thomas SR, Wedge JH, Salter RB. Outcome at forty-five years after open reduction and innominate osteotomy for late-presenting developmental dislocation of the hip. J Bone Joint Surg Am. 2007;89:2341–50. [PubMed] [Google Scholar]

47. El-Sayed MM. Single-stage open reduction, Salter innominate osteotomy, and proximal femoral osteotomy for the management of developmental dysplasia of the hip in children between the ages of 2 and 4 years. J Pediatr Orthop B. 2009;18:188–96. [PubMed] [Google Scholar]

48. Staheli LT, Chew DE. Slotted acetabular augmentation in childhood and adolescence. J Pediatr Orthop. 1992;12:569–80. [PubMed] [Google Scholar]

49. Keret D, MacEwen GD. Growth disturbance of the proximal part of the femur after treatment for congenital dislocationof the hip. J Bone Joint Surg Am. 1991;73:410. [PubMed] [Google Scholar]

50. Weiner DS, Hoyt WA, Jr, O'Dell HW. Congenital dislocation of the hip: the relationship of premanipulative traction and age to avascular necrosis of the femoral head. J Bone Joint Surg Am. 1977;59:306–11. [PubMed] [Google Scholar]

51. Salter RB, Kostuik J, Dallas S. Avascular necrosis of the femoral head as a complication of treatment for congenital dislocation of the hip in young children: A clinical and experimental investigation. Can J Surg. 1969;12:44–61. [PubMed] [Google Scholar]

52. Iversen LJ, Kalen V, Eberle C. Relative trochanteric overgrowth after ischemic necrosis in congenital dislocation of the hip. J Pediatr Orthop. 1989;9:381–5. [PubMed] [Google Scholar]

53. Macnicol MF, Makris D. Distal transfer of the greater trochanter. J Bone Joint Surg Br. 1991;73:838–41. [PubMed] [Google Scholar]

54. Dornacher D, Cakir B, Reichel H, et al. Early radiological outcome of ultrasound monitoring in infants with developmental dysplasia of the hips. J Pediatr Orthop B. 2010;19:27–31. [PubMed] [Google Scholar]

55. Gwynne Jones DP, Vane AGS, Coulter G, et al. Ultrasound measurements in the management of unstable hips treated with the Pavlik harness. J Pedatr Orthop. 2006;26:818–22. [PubMed] [Google Scholar]

56. Cashman JP, Round J, Taylor G, et al. The natural history of developmental dysplasia of the hip after early supervised treatment in the Pavlik harness. J Bone Joint Surg Br. 2002;84:418–25. [PubMed] [Google Scholar]

57. Albiñana J, Morcuende JA, Weinstein SL. The teardrop in congenital dislocation of the hip diagnosed late: a quantitative study. J Bone Joint Surg Am. 1996;78:1048–55. [PubMed] [Google Scholar]

58. Kim HT, Kim JI, Yoo CI. Acetabular development after closed reduction of developmental dislocation of the hip. J Pediatr Orthop. 2000;20:701–8. [PubMed] [Google Scholar]


Page 2

Which finding would the nurse see when assessing a newborn for developmental dysplasia of the hip DDH )?

Pelvis X-Ray (AP view) showing left sided dysplastic hip with femur head lying in the upper outer quadrant and disrupted Shenton's line.

  • Which finding would the nurse see when assessing a newborn for developmental dysplasia of the hip DDH )?
  • Which finding would the nurse see when assessing a newborn for developmental dysplasia of the hip DDH )?
  • Which finding would the nurse see when assessing a newborn for developmental dysplasia of the hip DDH )?

Click on the image to see a larger version.