Developmental dysplasia of the hip

1. DEVELOPMENTAL DISPLASIA OF
THE HIP

4. INFANT
• Shortening of limp on affected side
• Restricted abduction of hip on affected
side
• Unequal gluteal folds (infants prone)
• Positive ortolani test
• Positive barlow test

5. OLDER INFANT AND CHILDREN
• Affected leg shorter than the other
• Telescoping or piston mobility of joint –
Head of the femur felt to move up and
down in buttock when extented thigh is
pushed first toward child’s head and then
pulled distally

7. Cont.........
• Trendelenburg sign –When child stands
first o one foot and then on the other
(holding onto a chair ,rail, or some one’s
hands)bearing weight of affected hip
pelvis tilts downwards on normal side
instead of upwards ,as it would with
normal stability

8. Cond.........
• Greater trochanter prominent and
appearing above a line from
• Anterior superior iliac spine to tuberosity
• Waddling gait(bilateral dislocation)

9. DIAGNOSTIC EVALUATION
• The diagnosis of developmental
dysplasia of hip made on the following