(iii) Developmental dysplasia of the hip

Holroyd, Benjamin; Wedge, John

doi:10.1016/j.mporth.2009.05.008

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Volume 23, Issue 3 , Pages 162-168, June 2009

(iii) Developmental dysplasia of the hip

Benjamin Holroyd MBBS BSc FRCS (Tr & Orth) Orthopaedic Fellow at The Hospital for Sick Children, Toronto, Ontario, Canada M5G 1X8

John Wedge OC MD FRCS(C) Professor of Surgery at University of Toronto and a Chair of Advisory Council for Sick Kids International, Canada

Abstract

Developmental dysplasia of the hip (DDH) is a spectrum of pathologies affecting the infant hip ranging from asymptomatic subtle radiographic signs through mild instability to frank dislocations with an abnormal acetabulum.

Patients with developmental hip dysplasia account for around 10% of all primary hip arthroplasties, and around 30% in those under sixty. Early detection and appropriate management can prevent or delay the requirement for total hip replacement.

In this article we aim to provide a broad overview of the aetiology, natural history, pathology and management of developmental dysplasia of the hip.

Keywords: developmental dysplasia of the hip (DDH), open reduction, pelvic osteotomy, screening, spica