Last reviewed: November 2017
Last updated: November  2017

Summary

Definition

History and exam

Key diagnostic factors

  • positive Ortolani test
  • positive Barlow test
  • limited hip abduction

Other diagnostic factors

  • abnormal positioning of the leg or delayed crawling/walking
  • toe-walking (especially unilateral)

Risk factors

  • female gender
  • positive FHx
  • breech presentation
  • postural deformity
  • restricted intrauterine space

Diagnostic investigations

1st investigations to order

  • ultrasound of hips
  • hip x-ray
Full details

Treatment algorithm

Contributors

Authors VIEW ALL

Pediatric Specialty Care

Swedish Medical Group

Seattle

WA

Disclosures

KM declares that she has no competing interests.

Dr Kathleen Moen would like to gratefully acknowledge Dr Scott Shipman, a previous contributor to this monograph. SS is an author of a reference cited in this monograph.

Peer reviewers VIEW ALL

Consultant Orthopaedic Surgeon

Reader in Clinical Epidemiology and Surgery

UCL Institute of Child Health and Great Ormond Street Hospital for Children NHS Trust

London

UK

Disclosures

AR declares that he has no competing interests.

Professor

Consultant Orthopaedic Surgeon

Developmental Origins of Health and Disease (DOHaD)

School of Medicine

University of Southampton

Southampton

UK

Disclosures

NMC has received honoraria for visiting professorships in North America and also for lectures in respect of congenital hip dysplasia. He is also a founding member of the International Hip Dysplasia Institute, which has received charitable funding.

Assistant Professor (CHS)

Departments of Orthopedics and Pediatrics

University of Wisconsin School of Medicine and Public Health

Madison

WI

Disclosures

BN declares that he has no competing interests.

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