Related Experiment Video
Updated: Sep 21, 2026
Surgical Technique of the 3-Dimensional-printed Personalized Hip Implant for the Treatment of Canine Hip Dysplasia
Published on: April 19, 2024
Detecting developmental dysplasia of the hip
1Presbyterian St. Luke's Medical Center, 1719 East 19th Ave, Denver, CO 80218, USA. 70044.2401@compuserve.com
Insights
Universal screening for developmental hip dysplasia in newborns is recommended. Proper healthcare provider education and examination techniques are crucial for early detection and effective treatment of hip dysplasia.
Area of Science:
- Pediatrics
- Orthopedics
- Developmental Biology
Background:
- Developmental hip dysplasia requires prompt recognition and treatment.
- Universal newborn screening is now mandated by the American Academy of Pediatrics.
- Effective screening depends on healthcare provider expertise.
Purpose of the Study:
- To review hip development from embryo to postnatal stages.
- To outline historical risk factors for hip dysplasia.
- To provide a guide for hip examination and screening.
Main Methods:
- Review of normal hip embryology, natal, and postnatal development.
- Outline of historical risk factors.
- Step-by-step hip examination guide, including Ortolani and Barlow maneuvers.
- Discussion of ultrasound as a secondary screening tool.
Main Results:
- Guidelines for referral are presented.
- Indications for ultrasound use are outlined.
- Treatment options and family counseling strategies are reviewed.
Conclusions:
- Effective universal screening for developmental hip dysplasia requires comprehensive provider education and standardized examination techniques.
- Early detection through appropriate screening and timely intervention improves patient outcomes.
- Ultrasound serves as a valuable secondary screening tool when indicated.
Abstract:
Recent guidelines from the American Academy of Pediatrics mandate the universal screening of all newborns for developmental hip dysplasia, in an effort to promote prompt recognition and treatment of this condition. The effectiveness of universal screening hinges on the appropriate education, training, and experience of health care providers. This article reviews the normal embryologic, natal, and postnatal development of the hip. Historical risk factors that may have an impact on this developmental sequence are outlined. A step-by-step guide to the examination of the hip is offered, along with a discussion of the sensitivity and specificity of the Ortolani and Barlow maneuvers. Clear guidelines for referral are presented. The indications for the use of ultrasound studies as a secondary screening tool are outlined. Treatment options and important aspects of counseling and teaching families are reviewed.
Related Concept Videos
01:25Assessment of the Abdomen I: Inspection and Auscultation
The abdominal examination is a cornerstone of clinical medicine, serving as a critical tool in diagnosing various gastrointestinal (GI) diseases. It involves a systematic approach that includes inspection and auscultation, each with distinct yet complementary roles in assessing the abdomen. This article will delve into these two primary methods healthcare professionals use to examine the abdomen.
Inspection of the Abdomen
The first step in any abdominal examination is inspection.
01:30Respiratory System Abnormal Finding I: Inspection and Percussion
Inspection Findings
During an inspection, several findings may suggest the presence of respiratory distress or disease. Pursed-lip breathing, where exhalation is slowed by...