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How to use… Hip examination and ultrasound in newborns

Yoshua Colyn Collins-Sawaragi1, Kapila Jain2

  • 1Queen Elizabeth The Queen Mother Hospital, East Kent Hospitals University NHS Foundation Trust, Canterbury, UK.

Archives of Disease in Childhood. Education and Practice Edition
|October 14, 2017
PubMed

Insights

Early detection of developmental dysplasia of the hip (DDH) in newborns is crucial. This guide explains how to use physical examination and hip ultrasound (USS) to identify DDH and prevent complications.

Area of Science:

  • Pediatrics
  • Radiology
  • Orthopedics

Background:

  • Developmental dysplasia of the hip (DDH) encompasses a spectrum of hip abnormalities.
  • DDH results from both antenatal and postnatal factors.
  • Early detection and treatment are vital to prevent long-term complications.

Purpose of the Study:

  • To outline the recommended approach for hip examination in newborns.
  • To detail the application of hip ultrasonography (USS) for DDH screening.
  • To emphasize the importance of early DDH diagnosis in infants.

Main Methods:

  • Clinical assessment of newborns for risk factors and signs of DDH.
  • Performance and interpretation of hip ultrasound (USS) in neonates and infants.
  • Integration of physical examination findings with USS results.

Main Results:

  • The Neonatal and Infant Physical Examination Screening Programme guides DDH screening protocols.
  • Hip USS is recommended for newborns with risk factors or clinical indicators of DDH.
  • Timely diagnosis facilitates early intervention, improving outcomes.

Conclusions:

  • A combined approach of physical examination and hip ultrasonography is essential for early DDH detection.
  • Early identification and management of DDH in newborns can prevent significant developmental issues.
  • This review provides practical guidance on utilizing hip examination and USS in neonatal care.

Keywords:
DDHdevelopmental dysplasia of the hiphip ultrasoundneonatology

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