Developmental dysplasia of the hip

Developmental dysplasia of the hip

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Pediatrics

All neonates should be evaluated for developmental dysplasia of the hip (DOH), a condition characterized by an abnormal formation of the hip joint that prevents the femoral head from seating properly in the acetabulum. Risk factors for DOH include female gender, breech delivery, and a positive family history. An evaluation of the newborn for DOH should always include the Barlow test, which attempts to dislocate an unstable hip. When identified within the first six months after birth, DOH is treated by maintaining the hip in a flexed, abducted position for 1-2 months. This is most commonly accomplished with the Pavlik harness. Treatment should be managed by an orthopedic surgeon.

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