Pediatrics

Developmental Dysplasia of the Hip (DDH)

Developmental Dysplasia of the Hip (DDH)

A condition where the femoral head does not fit properly into the acetabulum of the hip joint.

Clinical Findings

  • Asymmetrical gluteal folds
  • Positive Barlow and Ortolani maneuvers
  • Limited hip abduction on the affected side
  • Unequal leg length (Galeazzi sign)

Management

  • Pavlik harness used for infants <6 months
  • Maintain continuous wear of the harness
  • Perform skin care to prevent breakdown under straps
  • Provide parent education on harness adjustment and follow-up

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