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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
- Spectrum of progressive hip abnormalities developing during infancy & resulting in acetabular dysplasia with femoral head malpositioning
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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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
- Spectrum of progressive hip abnormalities developing during infancy & resulting in acetabular dysplasia with femoral head malpositioning
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
