Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2015 Nov 16;45(2):116-21.
doi: 10.1016/S2255-4971(15)30279-2. eCollection 2010 Mar-Apr.

DYSPLASIA OF HIP DEVELOPMENT: UPDATE

Roberto Guarniero

DYSPLASIA OF HIP DEVELOPMENT: UPDATE

Roberto Guarniero. Rev Bras Ortop. .

Abstract

The term "developmental dysplasia of the hip" (DDH) includes a wide spectrum of abnormalities that affect the hip during its growth, ranging from dysplasia to joint dislocation and going through different degrees of coxofemoral subluxation. The incidence of DDH is variable, and depends on a number of factors, including geographical location. Approximately one in 1,000 newborn infants may present hip dislocation and around 10 in 1,000 present hip instability. Brazil has an incidence of five per 1,000 in terms of findings of a positive Ortolani sign, which is the early clinical sign for detecting the disorder. The risk factors for DDH include: female sex, white skin color, primiparity, young mother, breech presentation at birth, family history, oligohydramnios, newborns with greater weight and height, and deformities of the feet or spine. Hip examinations should be routine for newborns, and should be emphasized in maternity units. Among newborns and infants, the diagnosis of DDH is preeminently clinical and is made using the Ortolani and Barlow maneuvers. Conventional radiography is of limited value for confirming the diagnosis of DDH among newborns, and ultrasound of the hip is the ideal examination. The treatment of DDH is challenging, both for pediatric orthopedists and for general practitioners. The objectives of the treatment include diagnosis as early as possible, joint reduction and stabilization of the hip in a secure position. Classically, treatment options are divided according to different age groups, at the time of diagnosis.

Keywords: Congenital hip dislocation; Developmental bone disease; Hip/growth & development.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Illustrative photograph of the correct way to perform Ortolani's maneuver
Figure 2
Figure 2
Teaching model illustrating Ortolani's maneuver
Figure 3
Figure 3
Illustrative photograph of Galeazzi's sign
Figure 4
Figure 4
Lines on radiograph of the pelvis
Figure 5
Figure 5
Illustrative photograph of Pavlik's harness
See this image and copyright information in PMC

References

    1. Guille JT, Pizzutillo PD, MacEwen GD. Development dysplasia of the hip from birth to six months. J Am Acad Orthop Surg. 2000;8(4):232–242. - PubMed
    1. Guarniero R, Lage LAA, Luzo CAM, Romano D. Complicações no tratamento da displasia do desenvolvimento do quadril (DDQ): revisão da literatura e princípios de tratamento. Acta Ortop Bras. 1994;2(1):47–49.
    1. Guarniero R, Montenegro NB, Vieira PB, Peixinho M. Sinal de Ortolani: resultado do exame ortopédico em 9171 recém-nascidos na Associação Maternidade de São Paulo. Rev Bras Ortop. 1988;23(5):125–128.
    1. Guarniero R. Congenital dislocation of the hip. Epidemiology. Mapfre Med. 1992;3(Suppl 2):11–13.
    1. Bowen JR, Kotzias-Neto A. Developmental dysplasia of the hip. Data Trace; Brooklandville: 2006.