J Korean Orthop Assoc.  2020 Oct;55(5):359-365. 10.4055/jkoa.2020.55.5.359.

Pediatric Hip Disease (I): Diagnosis and Treatment of Developmental Dysplasia of the Hip

• Kim HT
• Park YG

• KMID: 2507750
• DOI: http://doi.org/10.4055/jkoa.2020.55.5.359

Abstract

Developmental dysplasia of the hip broadly includes inadequate development of the hip joint involving the acetabulum or proximal femur, or both. Although ultrasonographic studies in neonates have greatly lowered the frequency of neglected or operatively treated cases, its sensitivity is less than desired. Hip dysplasia without subluxation is commonly diagnosed incidentally and strongly related to degenerative arthritis in females after the 4th decade. Hip dysplasia with subluxation shows symptoms through various periods, depending on its severity, especially for women with onset during pregnancy. A complete physical examination and early treatment for neonates are extremely important for obtaining satisfactory outcomes. To avoid underdiagnosis and to serve appropriate treatment on time, the authors recommend examining any suspicious hips in infants under two years of age. The study will discuss the diagnosis and primary treatment of developmental dysplasia of the hip.

Keyword

hip joint; developmental dysplasia of the hip; avascular necrosis of femoral head