Developmental Dislocation (Dysplasia) of the Hip (DDH)-Causes-Risk factors
DDH tends to run in families. It can be present in either hip and in any individual. It usually affects the left hip and is more common in:
*
Girls
*
Firstborn children
* Babies born in the breech position (especially with feet up by the shoulders). The American Academy of Pediatrics now recommends ultrasound DDH screening of all female breech babies. *
Family history of DDH (parents or siblings)
* Oligohydramnios (low levels of amniotic fluid)
| Clinical recommendation | Evidence rating | References |
| --- | --- | --- |
| Risk factors for DDH should be identified in all children. | C | 1 |
| A careful physical examination is the basis for screening for DDH. | C | 1 |
| Ultrasonography should be ordered for infants six weeks to six months of age to clarify a clinical finding suggestive of DDH, assess a high-risk infant, and monitor DDH as it is observed or treated. | C | 1 |
| DDH = developmental dysplasia of the hip. | | | |
| A = consistent, good-quality patient-oriented evidence; B = inconsistent or limited-quality patient-oriented evidence; C = consensus, disease-oriented evidence, usual practice, expert opinion, or case series. For information about the SORT evidence rating system, see page | | | |
### IN This Artical
Developmental Dislocation (Dysplasia) of the Hip (DDH)-summary-NATURAL HISTORY
Developmental Dislocation (Dysplasia) of the Hip (DDH)-Description-PATHOGENESIS
Developmental Dislocation (Dysplasia) of the Hip (DDH)-DISEASE HISTORY
Developmental Dislocation (Dysplasia) of the Hip (DDH)-Causes-Risk factors
Developmental Dislocation (Dysplasia) of the Hip (DDH)-Symptoms-Doctor Examination-DIFFERENTIAL DIAGNOSIS
Developmental Dislocation (Dysplasia) of the Hip (DDH)-IMAGING AND OTHER DIAGNOSTIC STUDIES
Developmental Dislocation (Dysplasia) of the Hip (DDH)-Treatment-Outcomes-Recovery-Complications
next page:
Developmental Dislocation (Dysplasia) of the Hip (DDH)-Symptoms-Doctor Examination-DIFFERENTIAL DIAGNOSIS
Reference
1-Committee on Quality Improvement, Subcommittee on Developmental Dysplasia of the Hip. American Academy of Pediatrics. Clinical practice guideline: early detection of developmental dysplasia of the hip. Pediatrics. 2000;105(4 pt 1):896-905.
