Developmental dysplasia of the hip - pediatric hip abduction brace
Presentation
Patient referred to a pediatric center due to hip abnormalities.
Patient Data
Presentation radiograph
Shallow bilateral acetabula. The femoral head epiphyses have not yet ossified, however, the expected positions of the cartilaginous heads appears dislocated on the right and laterally subluxated on the left.
First follow-up
Hip abduction brace arch is noted. Both femoral proximal epiphysis are not yet ossified. The hip joints appear enlocated.
Case Discussion
This case illustrates a late management of DDH with a hip abduction brace. It is important to emphasize that ultrasound is the modality of choice to assess the hip joints prior to ossification of the proximal femoral epiphysis (in this case, they were not available).
DDH is suspected in the early neonatal period by clinical examination (including Ortolani test, Barlow maneuvers, and Galeazzi sign) and then referred for US assessment.
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