Hips

CHAPTER 25 Hips



David Cartwright


Examination for congenital hip dysplasia and dislocation of the hip (now known as developmental dysplasia of the hip, DDH) is an important part of the assessment of normal newborns. This condition is more common in females.


Particular attention should also be paid to:


• breech presentations, especially those with extended legs

• babies with features of in-utero compression such as calcaneovalgus foot deformities, talipes equinovarus, asymmetry of lower jaw, marked head moulding

• babies from pregnancies with oligohydramnios.

Most information will be gained by performing the examination as soon as possible after birth. It must also be done again before discharge, and should be done whenever a baby in the first few months of life is seen, for whatever reason.


You are examining to determine four kinds of hips:


• normal

• dislocatable hip, reduced at rest

• dislocated hip, reducible by manipulation

• dislocated hip, not reducible (fixed dislocation).


Examination of the hips



1. Stand at the foot end of the cot.

2. Observe the position and spontaneous movements of the hips with the nappy removed.

A dislocated hip is held in a slightly adducted and flexed position.

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Jul 18, 2016 | Posted by in PEDIATRICS | Comments Off on Hips

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