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Clinics in diagnostic imaging (69). Bilateral developmental dysplasia of the hip
1Department of Diagnostic Imaging, Kandang Kerbau Women's and Children's Hospital, Singapore. eteo@kkh.com.sg
Insights
Developmental dysplasia of the hip (DDH) in infants is effectively evaluated using ultrasonography. Treatment with a Pavlik harness demonstrated successful resolution of DDH, as confirmed by follow-up imaging.
Area of Science:
- Pediatric Orthopedics
- Medical Imaging
Background:
- Developmental dysplasia of the hip (DDH) presents a range of hip abnormalities.
- Early diagnosis in the neonatal period is crucial for effective management.
Observation:
- Ultrasonography (US) is the primary imaging modality for suspected DDH in neonates.
- US visualizes the cartilaginous femoral head and acetabulum before ossification.
Findings:
- The study illustrates ultrasonography features of DDH in a male infant.
- Follow-up imaging confirmed resolution of DDH after Pavlik harness treatment.
Implications:
- Ultrasonography is essential for diagnosing DDH in infants.
- Pavlik harness therapy is an effective treatment for resolving DDH.
- Pelvic radiographs are useful for follow-up once femoral head ossification begins.
Abstract:
Developmental dysplasia of the hip (DDH) is a condition encompassing a spectrum of abnormality. The ultrasonography features of DDH in a male infant is illustrated. Follow-up after treatment with a Pavlik harness shows resolution of the DDH. In the neonatal period, ultrasonography (US) is the modality of choice used to evaluate babies with suspected developmental dysplasia of the hip. The unossified cartilaginous femoral head and much of the acetabulum can be visualised on US. When the femoral head begins to ossify, pelvic radiographs can be used to follow-up patients with developmental dysplasia of the hips.