Developmental dysplasia of the hips - bilateral Graf type IIa

Case contributed by Hisham Alwakkaa
Diagnosis almost certain

Presentation

History of breech delivery.

Patient Data

Age: 7 weeks
Gender: Female
  • right alpha angle measures: 50 degrees, femoral head bony coverage: 43%
  • left alpha angle measures: 55 degrees, femoral head bony coverage: 46%

These findings are consistent with bilateral mild developmental dysplasia of the hip (DDH), being more prominent on the right side. 

Case Discussion

This is a case of DDH in a newborn baby girl with a history of breech delivery. Hip ultrasound is the procedure of choice to evaluate for DDH. It should be done at least 2-4 weeks after birth to avoid the period of physiologic ligamental laxity of the hips in the newborns.

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