Developmental dysplasia of the hip: ultrasound evaluation

Jillian Krauss1, Marcelo Straus Takahashi2, Jonathan Samet3

  • 1Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, 225 E. Chicago Ave., Chicago, IL, 60611, USA. jkrauss@luriechildrens.org.

Pediatric Radiology
|July 29, 2025
PubMed

Insights

Developmental dysplasia of the hip (DDH) ultrasound is key for early detection and monitoring treatment in infants. This imaging technique helps optimize outcomes and prevent long-term hip problems.

Area of Science:

  • Pediatric Radiology
  • Medical Imaging
  • Orthopedics

Background:

  • Developmental dysplasia of the hip (DDH) is a common pediatric condition.
  • Early detection and treatment are vital for optimal patient outcomes.
  • Ultrasound is the preferred imaging modality for infants under 4 months and those undergoing treatment.

Purpose of the Study:

  • To review the pathophysiology and screening criteria for DDH ultrasound.
  • To describe ultrasound techniques for DDH screening and diagnosis.
  • To explain specialized ultrasound methods for monitoring treatment response.

Main Methods:

  • Review of DDH pathophysiology and screening guidelines.
  • Description of standard ultrasound screening techniques for DDH.
  • Application of the Graf classification system for hip assessment.
  • Explanation of specialized ultrasound for monitoring abduction device therapy.

Main Results:

  • Ultrasound is effective for early DDH detection in infants.
  • The Graf classification system aids in diagnosing and grading hip dysplasia.
  • Specialized ultrasound techniques monitor treatment efficacy.

Conclusions:

  • Early ultrasound detection and Graf classification are crucial for managing DDH.
  • Ultrasound plays a key role in monitoring therapeutic interventions for DDH.