When viewing this topic in a different language, you may notice some differences in the way the content is structured, but it still reflects the latest evidence-based guidance.

Developmental dysplasia of the hip

Última revisão: 4 Jun 2025
Última atualização: 28 Jan 2025

Resumo

Definição

História e exame físico

Principais fatores diagnósticos

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

Outros fatores diagnósticos

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

Fatores de risco

  • female sex
  • positive family history
  • breech presentation
  • postural deformity
  • restricted intrauterine space
  • incorrect lower-extremity swaddling
Detalhes completos

Investigações diagnósticas

Primeiras investigações a serem solicitadas

  • ultrasound of hips
  • hip x-ray
Detalhes completos

Algoritmo de tratamento

CONTÍNUA

<6 months of age

6-18 months of age

>18 months to 6 years of age

>6 years of age

Colaboradores

Autores

Ishaan Swarup, MD, FAAOS, FAAP

Assistant Professor of Clinical Orthopaedic Surgery

UCSF Benioff Children’s Hospitals

University of California

San Francisco

CA

Declarações

IS states he has received consulting fees from OrthoPediatrics. He is also the author of a paper cited in this topic.

Agradecimentos

Dr Ishaan Swarup would like to gratefully acknowledge Dr Scott Shipman and Dr Kathleen Moen, previous contributors to this topic.

Revisores

Alex Gornitzky, MD

Assistant Professor of Pediatric Orthopaedic Surgery

University of Michigan

East Lansing

MI

Declarações

AG declares that he has no competing interests.

Andreas Roposch, MD, MSc, FRCS

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

Declarações

AR declares that he has no competing interests.

Nicholas M. Clarke, ChM, FRCS

Professor

Consultant Orthopaedic Surgeon

Developmental Origins of Health and Disease (DOHaD)

School of Medicine

University of Southampton

Southampton

UK

Declarações

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.

Referências

Nossas equipes internas de editoria e de evidências trabalham em conjunto com colaboradores internacionais especializados e pares revisores para garantir que forneçamos acesso às informações o mais clinicamente relevantes possível.

Principais artigos

Shipman SA, Helfand M, Moyer VA, et al. Screening for developmental dysplasia of the hip: a systematic literature review for the US Preventive Services Task Force. Pediatrics. 2006;117:e557-e576. Resumo

American Academy of Orthopaedic Surgeons. Detection and nonoperative management of pediatric developmental dysplasia of the hip in infants up to six months of age. Mar 2022 [internet publication].Texto completo

Shaw BA, Segal LS. Evaluation and referral for developmental dysplasia of the hip in infants. Pediatrics. 2016 Dec;138(6).pii:e20163107.Texto completo  Resumo

American College of Radiology. ACR Appropriateness Criteria: developmental dysplasia of the hip — child. 2018 [internet publication].Texto completo

Julie S, Quinn RH, Murray J, et al. Management of developmental dysplasia of the hip in infants up to six months of age: intended for use by general pediatricians and referring physicians. J Am Acad Orthop Surg. 2019 Apr 15;27(8):e356-9.Texto completo  Resumo

Samora J, Quinn RH, Murray J, et al. Management of developmental dysplasia of the hip in infants up to six months of age: intended for use by orthopaedic specialists. J Am Acad Orthop Surg. 2019 Apr 15;27(8):e360-3.Texto completo  Resumo

Artigos de referência

Uma lista completa das fontes referenciadas neste tópico está disponível para os usuários com acesso total ao BMJ Best Practice.
  • Diagnósticos diferenciais

    • Acetabular immaturity
    • Proximal femoral focal deficiency
    • Residual effects of septic arthritis
    Mais Diagnósticos diferenciais
  • Diretrizes

    • ACR–AIUM–SPR–SRU practice parameter for the performance of the ultrasound examination for detection and assessment of developmental dysplasia of the hip
    • Evidence-based clinical practice guideline: detection and nonoperative management of pediatric developmental dysplasia of the hip in infants up to six months of age
    Mais Diretrizes
  • padlock-lockedConectar-se ou assinar para acessar todo o BMJ Best Practice

O uso deste conteúdo está sujeito ao nosso aviso legal