RT Book, Section
A1 Randall, Rachel M.
A1 Ballock, R. Tracy
A2 Usatine, Richard P.
A2 Sabella, Camille
A2 Smith, Mindy Ann
A2 Mayeaux, E.J.
A2 Chumley, Heidi S.
A2 Appachi, Elumalai
SR Print(0)
ID 1114873833
T1 Developmental Dysplasia of the Hip
T2 The Color Atlas of Pediatrics
YR 2015
FD 2015
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-176701-9
LK accesspediatrics.mhmedical.com/content.aspx?aid=1114873833
RD 2024/04/24
AB A  three  day  old  female  was  brought  to  her  pediatrician  for  a  routine  newborn  evaluation.  Prenatally,  the  infant  was  noted  by  ultrasound  to  be  in  the  frank  breech  position,  and  was  born  via  Cesarean  section  at  40  weeks  of  gestation.  She  is  the  mother’s  first  child.  At  this  visit,  the  pediatrician  noted  that  the  infant’s  left  thigh  segment  was  shorter  than  the  right,  and  a  palpable  “clunk”  was  felt  when  pressure  was  applied  to  lift  the  greater  trochanter  and  the  left  hip  was  abducted  (Figure  87-1).  The  pediatrician  ordered  an  ultrasound  of  the  left  hip  joint,  which  revealed  a  dislocated  femoral  head.  The  patient  was  subsequently  placed  in  a  Pavlik  harness.  After  three  months,  the  hip  was  completely  reduced  and  stable  on  exam,  and  the  harness  was  discontinued.  Her  standing  x-ray  of  the  hips  at  one  year  was  normal.