![]() Breech position in the last trimester is the most significant risk factor for DDH.The odds ratio for the female sex is 4.14 (3.0 to 5.7). The increased incidence is probably due to ligamentous laxity from maternal hormones. Female sex: Approximately 4 times that of boys.The following are the risk factors for DDH include female sex, first-born infant, breech positioning in the third trimester, swaddling, postmaturity, LGA, conditions causing limited in utero space, and family history. Many genetic loci have been identified in familial cases.Įarly diagnosis and treatment are rewarding to prevent residual DDH, which causes limp, and or early osteoarthritis. This article is focused on healthy babies with DDH, rather than genetic or syndromes which causes teratologic or neuromuscular dysplasia. Multifactorial in nature, a combination of genetic, environmental, and mechanical factors plays a role. Presentation varies from minor hip instability to frank dislocation. Developmental will be more accurate as it explains the broad spectrum of abnormalities in the hip joint. Previously referred to as "congenital dislocation of the hip," the term developmental is preferred since not all are present or are identified at birth. ![]() Review the management options available for DDH.ĭevelopmental dysplasia of the hip (DDH) occurs due to an abnormal hip development, which presents in infancy or early childhood with a spectrum ranging from dysplasia to dislocation of the hip joint.Review the risk factors for the early identification of DDH.This activity reviews the evaluation and treatment of developmental dysplasia of the hip and highlights the role of the interprofessional team in evaluating and treating patients with this condition. Early diagnosis and management will prevent long term complications like persistent dislocation and early hip osteoarthritis. It is important to be aware that capitellar fractures are commonly associated with radial head fractures, and occasionally with a terrible triad injury pattern 2.DDH (developmental dysplasia of the hip ) is a disorder that is due to abnormal development of acetabulum with or without hip dislocation. For some non-displaced fractures, conservative management with splint immobilization is considered appropriate 1. Since capitellar fractures are intra-articular, open surgical reduction and internal fixation, or excision of the displaced fragment is often warranted. ![]()
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