DDH – Exam

DDH-exam
Developmental Dysplasia of the Hip – Physical Findings

Newborn:
Asymmetric abduction – key finding
Ortolani – reduction maneuver of a dislocated hip
Barlow – provocative dislocation of a reduced hip
– both these signs may disappear within a month?
– 60% of Barlow positive hips are stable within a week anyways
– 88% of Barlow positive hips are stable within two months

Later:
Asymmetric abduction
Galleazi sign
Klisic’s sign – line from GT to ASIS should continue medially and pass towards the umbilicus; in the dislocated hip, the GT is high and the line passes under the umbilicus
Nelaton’s line – line from ischial tuberosity to ASIS; the GT should lie caudal to this line; in the dislocated hip, the GT is high and lies cephalad to this line

Much Later:
Painless limp
Hyperlordosis
Trendelenberg gait
Toe walking

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