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KEY FACTS
Terminology
Imaging
Pathology
Clinical Issues
TERMINOLOGY
Abbreviations
Developmental dysplasia of hip (DDH)
Synonyms
Congenital dislocation of hip (archaic)
Definitions
Spectrum of progressive hip abnormalities developing during infancy & resulting in acetabular dysplasia with femoral head malpositioning
Ranges from mild subluxation → dislocatable hip → fixed hip dislocation
Abnormal position of femoral head relative to acetabulum results in abnormal growth of both components of hip
IMAGING
General Features
Ultrasonographic Findings
Radiographic Findings
CT Findings
MR Findings
Nonvascular Interventions
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Staging, Grading, & Classification
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
Selected References
Fukiage K et al: Femoral head volume indicates the severity of developmental dysplasia of the hip by a method using three-dimensional magnetic resonance imaging. J Pediatr Orthop B. 24(4):286-90, 2015
Gornitzky AL et al: Does perfusion MRI after closed reduction of developmental dysplasia of the hip reduce the incidence of avascular necrosis? Clin Orthop Relat Res. 474(5):1153-65, 2015
Kotlarsky P et al: Developmental dysplasia of the hip: what has changed in the last 20 years? World J Orthop. 6(11):886-901, 2015
LeBa TB et al: Ultrasound for infants at risk for developmental dysplasia of the hip. Orthopedics. 38(8):e722-6, 2015
Mace J et al: Neonatal clinical screening of the hip in the diagnosis of developmental dysplasia of the hip: a 15-year prospective longitudinal observational study. Bone Joint J. 97-B(2):265-9, 2015
Osborn DA: Independent predictors identified for developmental dysplasia of the hip. J Pediatr. 166(5):1322-3, 2015
Tafazal S et al: Do we need to follow up an early normal ultrasound with a later plain radiograph in children with a family history of developmental dysplasia of the hip? Eur J Orthop Surg Traumatol. 25(7):1171-5, 2015
Bracken J et al: Ultrasonography in developmental dysplasia of the hip: what have we learned? Pediatr Radiol. 42(12):1418-31, 2012
Gould SW et al: Protocol for MRI of the hips after spica cast placement. J Pediatr Orthop. 32(5):504-9, 2012
Ortiz-Neira CL et al: A meta-analysis of common risk factors associated with the diagnosis of developmental dysplasia of the hip in newborns. Eur J Radiol. 81(3):e344-51, 2012
Azzopardi T et al: Late diagnosis of developmental dysplasia of the hip: an analysis of risk factors. J Pediatr Orthop B. 20(1):1-7, 2011
Delaney LR et al: Developmental dysplasia of the hip: background and the utility of ultrasound. Semin Ultrasound CT MR. 32(2):151-6, 2011
Laor T: Spica MRI after closed reduction for developmental dysplasia of the hip. Pediatr Radiol. 41(6):790, 2011
Pillai A et al: Diagnostic accuracy of static graf technique of ultrasound evaluation of infant hips for developmental dysplasia. Arch Orthop Trauma Surg. 131(1):53-8, 2011
Wakabayashi K et al: MRI findings in residual hip dysplasia. J Pediatr Orthop. 31(4):381-7, 2011
Walton MJ et al: The success of management with the Pavlik harness for developmental dysplasia of the hip using a United Kingdom screening programme and ultrasound-guided supervision. J Bone Joint Surg Br. 92(7):1013-6, 2010
American Institute of Ultrasound in Medicine: AIUM Practice Guideline for the performance of the ultrasound examination for detection of developmental dysplasia of the hip.
Domzalski M et al: Avascular necrosis after surgical treatment for development dysplasia of the hip. Int Orthop. 28(2):65-8, 2004
Ucar DH et al: Treatment of developmental dysplasia of the hip with Pavlik harness: prospective study in Graf type IIc or more severe hips. J Pediatr Orthop B. 13(2):70-4, 2004
Mubarak SJ et al: Pavlik: the man and his method. J Pediatr Orthop. 23(3):342-6, 2003
Graf R: Advantages and disadvantages of various access routes in sonographic diagnosis of dysplasia and luxation in the infant hip. J Pediatr Orthop B. 6(4):248-52, 1997
Related Anatomy
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Related Differential Diagnoses
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References
Tables
Tables
KEY FACTS
Terminology
Imaging
Pathology
Clinical Issues
TERMINOLOGY
Abbreviations
Developmental dysplasia of hip (DDH)
Synonyms
Congenital dislocation of hip (archaic)
Definitions
Spectrum of progressive hip abnormalities developing during infancy & resulting in acetabular dysplasia with femoral head malpositioning
Ranges from mild subluxation → dislocatable hip → fixed hip dislocation
Abnormal position of femoral head relative to acetabulum results in abnormal growth of both components of hip
IMAGING
General Features
Ultrasonographic Findings
Radiographic Findings
CT Findings
MR Findings
Nonvascular Interventions
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Staging, Grading, & Classification
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
Selected References
Fukiage K et al: Femoral head volume indicates the severity of developmental dysplasia of the hip by a method using three-dimensional magnetic resonance imaging. J Pediatr Orthop B. 24(4):286-90, 2015
Gornitzky AL et al: Does perfusion MRI after closed reduction of developmental dysplasia of the hip reduce the incidence of avascular necrosis? Clin Orthop Relat Res. 474(5):1153-65, 2015
Kotlarsky P et al: Developmental dysplasia of the hip: what has changed in the last 20 years? World J Orthop. 6(11):886-901, 2015
LeBa TB et al: Ultrasound for infants at risk for developmental dysplasia of the hip. Orthopedics. 38(8):e722-6, 2015
Mace J et al: Neonatal clinical screening of the hip in the diagnosis of developmental dysplasia of the hip: a 15-year prospective longitudinal observational study. Bone Joint J. 97-B(2):265-9, 2015
Osborn DA: Independent predictors identified for developmental dysplasia of the hip. J Pediatr. 166(5):1322-3, 2015
Tafazal S et al: Do we need to follow up an early normal ultrasound with a later plain radiograph in children with a family history of developmental dysplasia of the hip? Eur J Orthop Surg Traumatol. 25(7):1171-5, 2015
Bracken J et al: Ultrasonography in developmental dysplasia of the hip: what have we learned? Pediatr Radiol. 42(12):1418-31, 2012
Gould SW et al: Protocol for MRI of the hips after spica cast placement. J Pediatr Orthop. 32(5):504-9, 2012
Ortiz-Neira CL et al: A meta-analysis of common risk factors associated with the diagnosis of developmental dysplasia of the hip in newborns. Eur J Radiol. 81(3):e344-51, 2012
Azzopardi T et al: Late diagnosis of developmental dysplasia of the hip: an analysis of risk factors. J Pediatr Orthop B. 20(1):1-7, 2011
Delaney LR et al: Developmental dysplasia of the hip: background and the utility of ultrasound. Semin Ultrasound CT MR. 32(2):151-6, 2011
Laor T: Spica MRI after closed reduction for developmental dysplasia of the hip. Pediatr Radiol. 41(6):790, 2011
Pillai A et al: Diagnostic accuracy of static graf technique of ultrasound evaluation of infant hips for developmental dysplasia. Arch Orthop Trauma Surg. 131(1):53-8, 2011
Wakabayashi K et al: MRI findings in residual hip dysplasia. J Pediatr Orthop. 31(4):381-7, 2011
Walton MJ et al: The success of management with the Pavlik harness for developmental dysplasia of the hip using a United Kingdom screening programme and ultrasound-guided supervision. J Bone Joint Surg Br. 92(7):1013-6, 2010
American Institute of Ultrasound in Medicine: AIUM Practice Guideline for the performance of the ultrasound examination for detection of developmental dysplasia of the hip.
Domzalski M et al: Avascular necrosis after surgical treatment for development dysplasia of the hip. Int Orthop. 28(2):65-8, 2004
Ucar DH et al: Treatment of developmental dysplasia of the hip with Pavlik harness: prospective study in Graf type IIc or more severe hips. J Pediatr Orthop B. 13(2):70-4, 2004
Mubarak SJ et al: Pavlik: the man and his method. J Pediatr Orthop. 23(3):342-6, 2003
Graf R: Advantages and disadvantages of various access routes in sonographic diagnosis of dysplasia and luxation in the infant hip. J Pediatr Orthop B. 6(4):248-52, 1997
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