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6 apr 2023 · Developmental dysplasia of the hip (DDH) is a disorder of abnormal development resulting in dysplasia, subluxation, and possible dislocation of the hip secondary to capsular laxity and mechanical factors. Treatment varies from Pavlik bracing to surgical reduction and osteotomies depending on the age of the patient and degree of ...
7 giu 2021 · Ultrasound of the neonatal hip plays a role in screening, diagnosis, and (monitoring of) treatment of DDH. This article reviews the epidemiology, static and dynamic ultrasound techniques in screening for DDH, and differences in screening programs throughout Europe.
- Iris Kilsdonk, Melinda Witbreuk, Henk-Jan Van Der Woude
- 10.15557/JoU.2021.0024
- 2021
- J Ultrason. 2021 Jun 7; 21(85): e147-e153.
1 dic 2017 · Introduction. Developmental dysplasia of the hip (DDH) is one of the most common musculoskeletal problems in newborns. It is also known as congenital hip dysplasia, but actually this is a misnomer. It is a developmental disease. There are children who are born with normal hips who develop dysplasia (figure).
9 ago 2023 · Developmental dysplasia of the hip (DDH) is a complex disorder that refers to different hip problems, ranging from neonatal instability to acetabular or femoral dysplasia, hip subluxation, and hip dislocation. It may result in structural modifications, which may lead to early coxarthrosis.
- 10.7759/cureus.43207
- 2023/08
- Cureus. 2023 Aug; 15(8): e43207.
- Epidemiology
- Clinical Presentation
- Pathology
- Radiographic Features
- Treatment and Prognosis
The reported incidence of developmental dysplasia of the hip varies between 1.5-20 per 1000 births 1, with the majority (60-80%) of abnormal hips resolving spontaneously within 2-8 weeks 1(so-called immature hip). Risk factors include 1,4: 1. female gender (M:F ~1:8) 2. firstborn baby 3. family history 4. breech presentation 5. oligohydramnios 6. m...
Developmental dysplasia of the hip is usually suspected in the early neonatal period due to the widespread adoption of clinical examination (including the Ortolani test, Barlow maneuvers, and Galeazzi sign). The diagnosis is then usually confirmed with ultrasound, although the role of ultrasound in screening is controversial 1,3.
In general, the dysplastic hip has a ridge (neolimbus) in the superolateral region of the acetabulum composed of hypertrophied fibrocartilage as a result of the abnormal joint congruity 13. In addition, there is very cellular hyaline cartilage allowing the femoral head to glide out of the acetabulum generating the palpable clunk known as the Ortola...
For imaging assessment of developmental dysplasia of the hip, ultrasound is the modality of choice prior to the ossification of the proximal femoral epiphysis. Once there is a significant ossification then an x-ray examination is required. For some reason, the left hip is said to be more frequently affected 4. One-third of cases are affected bilate...
Management options include: 1. Pavlik harness: usually for younger patients (less than 6 months of age) 2. closed reduction: usually for older patients after 1 year of age 3. open reduction (ORIF): much older patients or if closed reduction is not successful 10
7 ago 2020 · hip. Introduction. Developmental dysplasia of the hip (DDH) is the most common lower limb condition affecting children. DDH is defined as ‘a spectrum of disease ranging from minor dysplasia of the hip to irreducible dislocation’.
17 set 2019 · DDH alters hip biomechanics, overloading the articular cartilage and leading to early osteoarthritis. DDH is the main cause of total hip replacement in young people (about 21% to 29%). Development of the acetabular cavity is determined by the presence of a concentrically reduced femoral head.
