Summary
Definition
History and exam
Key diagnostic factors
- prueba de Ortolani positiva
- prueba de Barlow positiva
- abducción limitada de la cadera
Other diagnostic factors
- posición anormal de la pierna o retraso para gatear o caminar
- caminar de puntillas (especialmente con un pie)
Risk factors
- sexo femenino
- antecedentes familiares positivos
- presentación de nalgas
- deformidad postural
- espacio intrauterino restringido
- envoltura incorrecta de las extremidades inferiores
Diagnostic investigations
1st investigations to order
- ultrasonido de la cadera
- radiografía de cadera
Treatment algorithm
<6 meses de edad
6-18 meses de edad
>18 meses a 6 años de edad
>6 años de edad
Contributors
Authors
Ishaan Swarup, MD, FAAOS, FAAP
Assistant Professor of Clinical Orthopaedic Surgery
UCSF Benioff Children’s Hospitals
University of California
San Francisco
CA
Disclosures
IS states he has received consulting fees from OrthoPediatrics. He is also the author of a paper cited in this topic.
Acknowledgements
Dr Ishaan Swarup would like to gratefully acknowledge Dr Scott Shipman and Dr Kathleen Moen, previous contributors to this topic.
Peer reviewers
Alex Gornitzky, MD
Assistant Professor of Pediatric Orthopaedic Surgery
University of Michigan
East Lansing
MI
Disclosures
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
Disclosures
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
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.
Peer reviewer acknowledgements
BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.
Disclosures
Peer reviewer affiliations and disclosures pertain to the time of the review.
References
Key articles
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. Abstract
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].Full text
Shaw BA, Segal LS. Evaluation and referral for developmental dysplasia of the hip in infants. Pediatrics. 2016 Dec;138(6): pii:e20163107.Full text Abstract
Reference articles
A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
Differentials
- Inmadurez acetabular
- Deficiencia femoral focal proximal
- Efectos residuales de artritis séptica
More DifferentialsGuidelines
- 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
More GuidelinesLog in or subscribe to access all of BMJ Best Practice
Use of this content is subject to our disclaimer