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Hip Examination in the Child Updated 4/2010

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BASICS

  • Description

DIAGNOSIS

  • Signs and Symptoms
  • Tests
The following is an excerpt....
BASICS
Description
  • Because many pediatric hip disorders develop only in certain age groups, it is important that the clinician, when performing a hip examination, keep in mind the child’s age and have an understanding of the following age-specific pediatric hip disorders (1):
    • DDH:
      • Spectrum of conditions resulting in an unstable fit between the femoral head and acetabulum
      • Most cases are detectable at birth by performing the Ortolani and Barlow maneuvers.
      • If not seen at birth, it is usually found when the pediatrician notes asymmetrical abduction or parents notice limp or abnormal gait.
      • Risk factors include: Breech delivery, oligohydramnios, female gender (Male:Female ratio, 1:4) (1), 1st born, positive family history or ethnic background (e.g., Native American ...

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Images >
Fig. 1. AP radiograph of a left hip.